摘要
目的:分析听神经瘤患者乙状窦后入路术后听力保留的影响因素。方法:选取2022年1月—2023年12月于徐州医科大学附属医院行乙状窦后入路切除术的听神经瘤患者106例作为研究对象,根据患者术后听力情况分为听力保留组、听力损失组。比较两组临床资料,分析听神经瘤患者乙状窦后入路术后听力保留的影响因素。结果:Logistic回归分析显示,年龄>45岁、Koos分级3~4级、内听道底部受累、肿瘤发生囊性病变是听神经瘤患者乙状窦后入路术后听力保留的独立危险因素(P<0.05)。结论:年龄>45岁、Koos分级3~4级、内听道底部受累、肿瘤发生囊性病变是听神经瘤患者乙状窦后入路术后听力保留的独立危险因素,实施手术前,医师应对患者做好充分评估,制定个体化治疗方案。
Objective:To analyze the influencing factors for hearing preservation of acoustic neuroma patients after retrosigmoid approach resection.Methods:A total of 106 acoustic neuroma patients who underwent retrosigmoid approach resection in Xuzhou Medical University from January 2022 to December 2023 were selected as the study subjects.According to the hearing condition of patients after surgery,they were divided into hearing preservation group and hearing loss group.The clinical data were compared between two groups.The influencing factors for hearing preservation of acoustic neuroma patients after retrosigmoid approach resection were analyzed.Results:Logistic regression analysis showed that,age>45 years,Koos grade 3-4,involvement of the bottom of the internal auditory canal,and cystic lesions of the tumor were independent risk factors for hearing preservation of acoustic neuroma patients after retrosigmoid approach resection(P<0.05).Conclusion:The age>45 years,Koos grade 3-4,involvement of the bottom of the internal auditory canal,and cystic lesions of the tumor are independent risk factors for hearing preservation of acoustic neuroma patients after retrosigmoid approach resection.Before surgery,physicians should perform thorough evaluation and formulate individualized treatment scheme.
作者
丁聿贤
Ding Yuxian(XuzhouMedicalUniversity,Xuzhou 221004,JiangsuProvince,China)
出处
《中国社区医师》
2024年第4期19-21,共3页
Chinese Community Doctors
关键词
乙状窦后入路切除术
听神经瘤
听力保留
影响因素
Retrosigmoid approach resection
Acoustic neuroma
Hearing preservation
Influencing factors
