桥小脑角肿瘤术中面神经保护及功能评估
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魏永

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Facial nerve protection and its function evaluation during operation for Cerebellopontine angle tumor
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    摘要 目的 探讨面神经监测在桥小脑角(CPA)肿瘤术中对面神经的保护和评估术后面神经功能。方法 32例CPA肿瘤手术全程中行面肌肌电图监测,显微镜下切除肿瘤,术毕刺激面神经的脑干近端对预后进行评估。结果 32例患者肿瘤全切除30例(93.75%),面神经解剖保留29例(90.63%),面神经功能良好保留26例(81.25%)。刺激强度的大小与术后面神经功能存在明显的相关性,刺激强度越小,术后面神经功能越好。术末刺激强度在0.05~1.5mA之间, 术后12个月面神经功能为Ⅰ、Ⅱ级者达88.46% 。结论 CPA肿瘤术中行面神经监测有助于提高面神经的解剖和功能保留率,并可评估术后面神经功能。

    Abstract:

    [Abstract] Objective To explore the protection of the facial nerve during operation for CPA tumor and evaluation of its function after operation. Methods 32 patients with CPA tumor were operated under the Facial muscle EMG monitoring and the operating microscope.And stimulate the facial nerve near the brainstem to evaluate the prognosis at the end of operation. Results Total removal was achieved in 30 patients(93.75%).The facial nerve was preserved anatomically in 29 patients(90.63%).The function of facial nerve was kept well in 26 cases(81.25%).The stimulative intensity value is related to the postoperative function of facial nerve. The stimulative intensity is the lower, the function of facial nerve is the better.when stimulative intensity is 0.05~1.5mA, The function of facial nerve may be 88.46% inⅠ、Ⅱgrade afters 12 months. Conclusions Intraoperative facial nerve monitoring can increase the anatomical and function preservation rate of facial nerve and also can evaluate its function after operation.

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魏永456.桥小脑角肿瘤术中面神经保护及功能评估[J].国际神经病学神经外科学杂志,2009,(4):307-310111222. Facial nerve protection and its function evaluation during operation for Cerebellopontine angle tumor[J]. Journal of International Neurology and Neurosurgery,2009,(4):307-310

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  • 收稿日期:2009-04-05
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  • 在线发布日期: 2009-08-28
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