医学部

inoe tatsushi

  (井上 辰志)

Profile Information

Affiliation
School of Medicine Faculty of Medicine, Fujita Health University
Degree
医学博士(広島大学)

J-GLOBAL ID
200901067718025015
researchmap Member ID
1000242024

Misc.

 11
  • 庄田 基, 井上辰志, 廣瀬雄一
    脳神経外科速報, 22(9) 1032-1037, Sep, 2012  
  • Akinori Kondo, Isao Date, Shunro Endo, Kiyotaka Fujii, Yukihiko Fujii, Takamitsu Fujimaki, Mitsuhiro Hasegawa, Touru Hatayama, Kazuhiro Hongo, Touru Inoue, Masatsune Ishikawa, Masanori Ito, Takamasa Kayama, Eiji Kohmura, Toshio Matsushima, Shigeru Munemoto, Shinji Nagahiro, Kikuro Ohno, Tomomi Okamura, Hiroshi Ryu, Taku Shigeno, Reizo Shirane, Yutaka Tagusagawa, Hideki Tanabe, Kazuo Yamada, Iwao Yamakami
    ACTA NEUROCHIRURGICA, 154(5) 773-778, May, 2012  
    The purpose of this study was to evaluate and analyze overall postoperative results from microvascular decompression (MVD) by combining the cure rate of symptoms with the complication rate. A new scoring system for obtaining objective surgical results from MVD for trigeminal neuralgia (TN) and hemifacial spasm (HFS) is proposed to document treatment results using consistent criteria in a standardized manner. Surgical results combining complications , if any, were obtained from a questionnaire sent to patients who had undergone surgery for TN or HFS in recent years and had been followed-up for more than 1 year after surgery (TN patients, n = 54; HFS patients, n = 81) When surgical outcome is complete resolution of symptoms, the efficacy of surgery (E) is designated E-0, but when moderate symptoms are still persist postoperatively, the score is designated E-2. When no complications are seen after surgery, the complication score (C) is C-0, while the score is C-2 if troublesome complications remain. In addition, total evaluation of the results (T) is judged by combining the E and C scores. For example, when E is 0, and C is C-2, the total evaluation is scored as T-2, which is diagnosed as fair. The response rate of the questionnaire was 80.7% (109/135). Overall surgical data were evaluated and analyzed using our new scoring system. Analysis of the collected data revealed an outcome of T-0 was 70% (35/50 patients) and T-1 was 24% (12/50) and T-2 was 6% (3/50) in TN, whereas in HFS, T-0 was 61% (36/59) and T-1 was 27.1% (16/59) and T-2 was 6.8% (4/59) and T-3 was 5.1% (3/59). The total results of MVD should be evaluated and analyzed by combining the cure rate of symptoms together with the complication rate. This new scoring system could allow much more objective analysis of the results of following MVD. Adopting this scoring system to objectively judge treatment results for TN and HFS, individual surgeons can compare their own overall surgical results with those of other institutes. Comparative results of MVD can also be provided to patients considering therapy to allow informed decision-making on the basis of good quality evidence.
  • 井上辰志, 高井敬介, 三好康之, 乾 敏彦, 下川宣幸, 菅原 卓 高見俊宏
    脊髄外科, 26(2) 171-180, 2012  

Presentations

 18

その他教育活動上特記すべき事項

 1
  • 件名(英語)
    第9回藤田保健衛生大学病院臨床研修指導医講習会
    概要(英語)
    臨床研修指導医講習会への参加