What is in this issue
What is in this issue
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本期内容是什么
DOI：
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
G. Angelini
中科院分区：
文献类型：
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作者：
J. Chan;A. Dimagli;D. Fudulu;Tim Dong;E. Mikova;G. Angelini
保守治疗的观察与筛查小的听神经瘤保留手术的扩大现在是一个公认的做法，是上级的初步手术干预，在保留听力和面神经功能（1）。以前没有报道的是，通过筛查进行观察也更便宜，特别是与手术相比，MRI扫描的成本可能会继续下降。因此，尽管第438页的论文是基于加拿大的成本，但它很可能反映在发达国家的其他地方。成本上的差异是物质上的，保守治疗至少是每个人手术成本的一半。从加拿大的数字来看，只有当保守治疗的手术率最初达到80%时，成本才相等。
The conservative management of watching with screening of small acoustic neuromas reserving surgery for those that enlarge is now a well recognised practice that is superior to initial surgical intervention in preserving the hearing and facial nerve function (1). What has not been reported before is that watching with screening is also cheaper, especially as the cost of MRI scanning is likely to continue to fall in comparison to that of surgery. So though the paper reported on page 438 is based on Canadian costs, it is likely to be mirrored elsewhere in the developed world. The difference in cost is material with conservative management being at least half the cost of surgery for everyone. From the Canadian figures it is only when the surgery rate in those being conservatively managed initially reaches 80% do the costs equate.