[1]关 锋,赵卫国,濮春华,等.面肌痉挛微血管减压术后听力障碍的影响因素[J].中国临床神经外科杂志,2019,(06):330-332.[doi:10.13798/j.issn.1009-153X.2019.06.004]
 GUAN Feng,ZHAO Wei-guo,PU Chun-hua,et al.Risk factors of hearing loss following microvascular decompression for primary hemifacial spasm[J].,2019,(06):330-332.[doi:10.13798/j.issn.1009-153X.2019.06.004]
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面肌痉挛微血管减压术后听力障碍的影响因素()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2019年06期
页码:
330-332
栏目:
论著
出版日期:
2019-06-25

文章信息/Info

Title:
Risk factors of hearing loss following microvascular decompression for primary hemifacial spasm
文章编号:
1009-153X(2019)06-0330-03
作者:
关 锋赵卫国濮春华杨文磊李 宁
200025 上海,上海交通大学医学院附属瑞金医院神经外科[关 锋(进修医师,现在贵州医科大学附属白云医院神经外科工作)、赵卫国、濮春华、杨文磊、李 宁]
Author(s):
GUAN Feng12 ZHAO Wei-guo1 PU Chun-hua1 YANG Wen-lei1 LI Ning1.
1. Department of Neurosurgery, Ruijin Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200025, China; 2. Department of Neurosurgery, Affiliated Baiyun Hospital, Guizhou Medical University, Guiyang 550014, China
关键词:
原发性面肌痉挛微血管减压术听力障碍危险因素
Keywords:
Hemifacial spasm Microvascular decompression Hearing loss Risk factor
分类号:
R 745.1+2; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2019.06.004
文献标志码:
A
摘要:
目的 探讨原发性面肌痉挛(HFS)微血管减压术(MVD)后听力障碍的影响因素。方法 回顾性分析2016年3~9月MVD治疗的130例原发性HFS的临床资料。术前及术后1周通过纯音测听法(PTA)进行听力功能评估,术后听力障碍定义为术后1周PTA较术前下降≥15 dB且PTA值>50 dB。采用多因素Logistic回归分析检验术后听力障碍的危险因素。结果 130例中,术后12例(9.2%)发生听力障碍。多因素Logistic回归分析结果显示镜下操作时间长是术后听力障碍独立危险因素(OR=7.185;95% CI 2.682~22.160;P=0.001)。结论 术中镜下操作时间长是HFS MVD后发生听力障碍的重要临床因素。
Abstract:
Objective To study the risk factors of hearing loss (HL) following microvascular decompression (MVD) surgery in the patients with primary hemifacial spasm (HFS). Methods The study included 130 patients with primary HFS who underwent MVD in our department from March, to September, 2016. Hearing function was evaluated with pure tone audiometry (PTA) before and 1 week after the surgery. The postoperative HL was defined as PTA value >50 dB combined with a decrease of PTA≥15 dB compared with preoperative conditions. The relationship of the factors including patient’s age and gender, affected side, characteristics of offending vessel and facial/auditory nerves anatomy observed in MVD, and microscopic manipulation duration with the postoperative HL were analyzed by univariate and multivariate statistical methods. Results Twelve (9.2%) patients developed HL after MVD. The univariate analysis showed that the factors related to HL after MVD included the vertebral artery pressure to facial/auditory nerves and long microscopic manipulation duration (P<0.05). The multivariate logistic regression analysis showed that the long microscopic manipulation duration was risk factor of postoperative HL (P<0.05). Conclusion Our study strongly suggested that the long MVD manipulation duration may be an clinical risk of HL after MVD in the patient with primary HFS.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者:李 宁,E-mail:ln10918@126.com
更新日期/Last Update: 2019-06-25