定量感觉测试是评估神经损伤的一种有效客观方法。
The quantitative sensory testing is an efficient objective method for assessment of nerve injury.
作者信息
Kim Young-Kyun, Yun Pil-Young, Kim Jong-Hwa, Lee Ji-Young, Lee Won
机构信息
Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Gyeonggi, South Korea.
Department of Dentistry, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 222 Banpo-daero, Seocho-gu, Seoul 137-701 Republic of Korea.
出版信息
Maxillofac Plast Reconstr Surg. 2015 May 3;37(1):13. doi: 10.1186/s40902-015-0013-5. eCollection 2015 Dec.
BACKGROUND
This study evaluated Somatosensory evoked potentials (SEP), Quantitative sensory testing (QST), and thermography as diagnostic methods for nerve injury.
METHODS
From 2006 through 2011, 17 patients (mean age: 50.1 years) from OOOO Hospital who sought care for altered sensation after dental implant treatment were identified. The mean time of objective assessment was 15.2 months after onset.
RESULTS
SEP of Inferior alveolar nerve(IAN) was 15.87 ± 0.87 ms on the normal side and 16.18 ± 0.73 ms on the abnormal side. There was delayed N20 latency on the abnormal side, but the difference was not statistically significant. In QST, the abnormal side showed significantly higher scores of the current perception threshold at 2 KHz, 250 Hz, and 5 Hz. The absolute temperature difference was 0.55°C without statistically significance.
CONCLUSION
These results indicate that QST is valuable as an objective method for assessment of nerve injury.
背景
本研究评估了体感诱发电位（SEP）、定量感觉测试（QST）和热成像作为神经损伤的诊断方法。
方法
从2006年到2011年，确定了OOOO医院的17名患者（平均年龄：50.1岁），他们因种植牙治疗后感觉改变而寻求治疗。客观评估的平均时间为发病后15.2个月。
结果
下牙槽神经（IAN）的SEP在正常侧为15.87±0.87毫秒，在异常侧为16.18±0.73毫秒。异常侧N20潜伏期延迟，但差异无统计学意义。在QST中，异常侧在2千赫兹、250赫兹和5赫兹时的电流感觉阈值得分显著更高。绝对温度差为0.55°C，无统计学意义。
结论
这些结果表明，QST作为评估神经损伤的客观方法具有价值。
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