神经电生理监测对面肌痉挛微血管减压术疗效的影响  

Effect of intraoperative neural electrophysiological monitoring on the microvascular decompression surgery for hemifacial spasm

作　　者：林伟[1] 罗小楠[2] 李娜[1] 蒋晓帆[1] 鲁维山 梁景文[1] 李晓明[1] 程光[1] 费舟[1] 

机构地区：[1]第四军医大学西京医院神经外科,陕西西安710032 [2]第四军医大学训练部临床管理处,陕西西安710032 [3]解放军第513医院外科,甘肃兰州732750

出　　处：《中华神经外科疾病研究杂志》2014年第4期337-340,共4页Chinese Journal of Neurosurgical Disease Research

基　　金：国家自然科学基金资助项目(81001123);西京医院学科助推计划基金资助项目(XJZT11R10)

摘　　要：目的评价电生理监测结果对面肌痉挛微血管减压术疗效的影响。方法采用电生理监测术中面神经侧方扩散反应(LSR)的方法,对87例面肌痉挛的患者进行术中监测,根据监测结果对术中面神经减压效果进行评判,并将结果与81例未作监测的患者进行近期和远期疗效的对比。结果术后近期治愈率:监测组:87.4%,未监测组:74.1%,两组间比较有显著差异(P<0.05)。术后随访12个月治愈率:监测组:96.6%,未监测组:93.8%,两组间比较无显著差异(P>0.05)。结论根据监测结果对面神经减压术进行术中减压效果预判能够提高近期治愈率,降低术后延迟治愈的发生率。神经电生理监测对面肌痉挛微血管减压术的近期疗效具有明确影响。Objective The effect of intraoperative monitoring of lateral spread response （LSR） on the microvascular decompression （MVD） surgery for hemifacial spasm. Methods A total of 87 hemifacial spasm patients who underwent LSR monitoring during MVD were analyzed. The resuhs were compared with another 81 hemifacial spasm patients without LSR monitoring during MVD. Results There was significant difference in achieved immediate remission between monitoring group （ 76, 87.4% ） and non-monitoring group （60, 74. 1% ）（ P 〈 0. 05 ）. There was no significant difference in recovery rate during 12-month follow-up between monitoring group （84, 96.6% ） and non-monitoring group （76, 93.8% ） （P 〉 0.05 ）. Conclusion The evaluation for the decompression effect by intraoperafive monitoring can increase the immediate remission rate and reduce the delayed recovery rate. Intraoperative neural electrophysiological monitoring can promote the immediate effect of the microvascular decompression surgery for hemifacial spasm patients.

关 键 词：面肌痉挛 微血管减压术 术中神经电生理监测 

分 类 号：R746[医药卫生—神经病学与精神病学]