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首页> 外文期刊>Journal of Clinical Medicine Research >Common Features in Patients With Superior Canal Dehiscence Declining Surgical Treatment
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Common Features in Patients With Superior Canal Dehiscence Declining Surgical Treatment

机译：上运河开裂拒绝手术治疗患者的共同特征

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Background: Superior canal dehiscence (SCD) is a benign condition in which a surgical treatment may be considered depending on the patients’ tolerance of their symptoms. In this study, we aim to identify driving factors behind the patients’ choice of a surgical management over watchful waiting.Methods: Sixty-two patients with cochlear and/or vestibular symptoms and a temporal bone high-resolution CT (HRCT) scan showing SCD were included in the study. All patients have been offered either surgical management or watchful waiting.Results: Of these, 28 elected surgery and 34 declined it. The operated group showed more cochlear (6.6 vs. 2.4) symptoms than the non-operated group (P 0.05). The average dehiscence size was 4.7 mm (2.0 - 8.0 mm) and 3.8 mm (1.3 - 7.7 mm) in the operated and non-operated patients, respectively (P = 0.421).Conclusions: The natures of cochleovestibular signs and symptoms were shown to be key factors in patients’ choice of a surgical management whereas paraclinical tests seem to be less significant in the patients’ decision for a surgical treatment.J Clin Med Res. 2015;7(5):308-314doi: http://dx.doi.org/10.14740/jocmr2105w
机译：背景：上颌开裂（SCD）是一种良性疾病，根据患者对症状的耐受程度，可以考虑手术治疗。在这项研究中，我们旨在确定患者选择手术治疗而非等待观察背后的驱动因素。方法：62例具有耳蜗和/或前庭症状且颞骨高分辨率CT（HRCT）扫描显示SCD的患者被纳入研究。结果：对所有患者进行了外科手术处理或等待观察。结果：其中28例选择了手术，34例拒绝了手术。手术组比非手术组表现出更多的耳蜗症状（6.6 vs. 2.4）（P 0.05）。手术患者和非手术患者的平均开裂大小分别为4.7 mm（2.0-8.0 mm）和3.8 mm（1.3-7.7 mm）（P = 0.421）。结论：耳蜗前庭体征和症状的性质显示为是决定患者选择手术方式的关键因素，而临床辅助检查似乎对患者决定手术治疗的意义较小。 2015; 7（5）：308-314doi：http://dx.doi.org/10.14740/jocmr2105w

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