!w!·!u Ê U º : a! 7 @ a 9jsgn.umin.jp/06topics/sozai/lecture2-wada.pdf · 2017. 1. 12. ·...

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ᎋⅷ↷ⅵ ᅕኺၡ↗‷⁀‹ ԧဋ ାɟ Midline Method ᧵ٻҔᅹ ܖٻɶځ౨௹ᢿ ➨䠏ᅇ᪥ᮏ⚄⤒⏕⌮ᰝ◊✲㏆␥ᨭ㒊◊ಟ 1 MEDICAL TECHNOLOGY 527 2013 Vol41 No.11 2 ᅕኺၡ→↕ ඖ䛾䜖䛜䜏 ๓㢌➽䛜⦰䛷䛝䛺䛔䛯䜑┱䛜 䛜䜙䛺䛔 ┠䛜䛻㛢䛨䜜䛺䛔 㰯၁⁁䛾ᾘኻ 3 䠍䠊⾲➽䜢ᨭ㓄䛩䜛㐠⚄⤒䛷䛒䜛㢦㠃⚄⤒䛜ኚᛶ䛩 䜛䛣䛸䛻䜘䛳䛶Ⓨ䛧䚸㯞⑷䛾ከ䛟䛿∦ഃᛶ䛻䛚䛣䜛䚹 䠎䠊ẚ㍑ⓗ䛻Ⰻᛶ䛾ᝈ䛷䛒䜛䛜䚸ᚋ㑇䠄ⓗඹ㐠 䛺䛹䠅䛜ṧ䜛䛣䛸䜒䛒䜛䚹 䠏䠊㢦㠃⚄⤒㯞⑷䛾デ䛿ၥデ䚸⫈ຊᰝ䚸⏬ീᰝ䚸 ⾑ᾮᰝ䛺䛹䛷☜ᐃ䛩䜛䚹 ఴᅕኺၡ↝ܭ4

Transcript of !w!·!u Ê U º : a! 7 @ a 9jsgn.umin.jp/06topics/sozai/lecture2-wada.pdf · 2017. 1. 12. ·...

Page 1: !w!·!u Ê U º : a! 7 @ a 9jsgn.umin.jp/06topics/sozai/lecture2-wada.pdf · 2017. 1. 12. · !w!·!u Ê U º : a! 7 @ a 9 ' > _ Midline Method { õ y { v h ù ¿ '¨H G ¥ & ) #Õ#.

Midline Method

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MEDICAL TECHNOLOGY 527 2013 Vol41 No.11

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5 Facial Nerve Jpn31

2006 ~2010

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7

JOHS Vol16 No3 2000

6

7

Waller

Sunderland

2011 P17

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1. 40

House-Brackmann

Sunnybrook

2. NET

Maximal Stimulation Test(MST)

EMG

ENoG

BR

3.

9 10

100%

50%

17%

.CLIENT21 No9: 2001:79-88

=1

1/2

1/6

11

2011

2011 P

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1mV 1mV

13 14

2.35 V

4.01 V 2.28 V

0.96 V

1

2

1mV

1mV 1mV

1mV

15

2011 P

16

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A

B C

0.2ms 1HzA CMAP

A

B

C ( )

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0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

ABC

CMAP V)

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mA)

CMAP(mV)

CMAP 35mA

( p<0.05,t-test

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mA)

/

25 A

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21

25

4.01mV

2.35mV

1mV

2

5.13mV

0.27mV

1mV

2

MEDICAL TECHNOLOGY 527 2013 Vol41 No.11

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69 Bell 4/40

3.56ms 2.20ms6.44ms3.50ms11.05ms 5.38ms

20 A

45 A

50 A

40 A35 A30 A25 A20 A

25 A

30 A

35 A

40 A

45 A

50 A

ENoG 21.9

6.470 V 1.420 V2ms

2mV 2ms 1mV

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3.51 0.53 6.96 0.64

3.56 0.46 7.17 0.71

4.17 0.23 7.59 1.13

P<0.01 , t-test

(ms) (ms)

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2011

368

29

14 106

0.54

0.43

ENoG

0

20

40

60

80

100

120

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