耳硬化患者镫骨手术后前庭功能障碍

Ditza de Vilhena, I. Gambôa, Delfim Duarte, G. Lopes
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引用次数: 8

摘要

引言和目标。眩晕是镫骨手术后常见的并发症。许多研究对听力损失的改善进行了评估,但对镫骨手术后前庭功能的评估研究很少。本研究的目的是评估镫骨手术后眩晕的存在和特征。方法。我们进行了一项前瞻性观察研究。邀请2013年10月至2014年12月在我院行镫骨手术的患者参与。术前和术后4个月使用眩晕障碍量表评估眩晕。结果。我们纳入了140名患者。12例患者(8.6%)报告术前眩晕,术后均否认眩晕。36例(25.7%)患者术后4个月出现眩晕,术前无眩晕。眩晕患者术后总分在2 ~ 18分之间。结论。该研究表明,前庭功能障碍可能会在术后立即存在,并加强了在知情同意法案中对患者进行澄清的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vestibular Disorders after Stapedial Surgery in Patients with Otosclerosis
Introduction and Objectives. Vertigo is a described complication of stapedial surgery. Many studies have been conducted to assess the improvement of hearing loss, but there are few studies that assess vestibular function after stapedial surgery. The aim of this study was to evaluate the presence and characterize the vertigo after stapedial surgery. Methods. We conducted a prospective observational study. Patients undergoing stapedial surgery in our hospital between October 2013 and December 2014 were invited to participate. The vertigo was assessed before and 4 months after surgery, using the Dizziness Handicap Inventory. Results. We included 140 patients in the study. 12 patients (8.6%) reported vertigo before surgery, and all of them denied vertigo after surgery. 36 patients (25.7%) reported vertigo four months after surgery, and none of them had vertigo before surgery. Postoperative total scores in patients with vertigo ranged between 2 and 18 points. Conclusion. The study shows that vestibular disorders may remain after the immediate postoperative period and reinforces the need for clarification of the patient in the informed consent act.
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