神经电生理监测在听神经瘤切除术面神经保护中的作用  

Effect of neurophysiological monitoring on protection of facial nerve in acoustic neuroma resection

作　　者：宋海民[1] 吴至武 冯开明[1] 杨瑞金[1] 蒋秋华[1] SONG Haimin WU Zhiwu FENG Kaiming YANG Ruijin JIANG Qiuhua(Department of Neurosurgery , the People＇s Hospital of Ganzhou , Ganzhou, Jiangxi 341000, China)

机构地区：[1]江西省赣州市人民医院神经外科,赣州市341000

出　　处：《微创医学》2017年第3期309-311,共3页Journal of Minimally Invasive Medicine

基　　金：江西省重点研发计划项目(编号:20161BBG70025)

摘　　要：目的探讨神经电生理监测在听神经瘤切除术面神经保护中的作用。方法接受听神经瘤切除术的患者90例,随机分为研究组和对照组,每组45例。对照组在手术过程中不给予神经电生理监测,研究组在手术过程中给予神经电生理监测,并根据监测结果设定肿瘤的切除范围。对比分析两组患者手术后的面部神经功能分级、术后半年的听力功能、面瘫状况以及并发症的发生率。结果研究组手术后的面部神经功能分级、术后半年的听力功能、面瘫状况以及并发症的发生率与对照组比较,差异具有统计学意义(P<0.05)。结论在听神经瘤切除术中实行神经电生理监测可准确监测到患者面部神经的位置,可有效保护患者的面部神经,值得临床推广应用。Objective To investigate the effect of neurophysiological monitoring on the protection of facial nerve in acoustic neuroma resection. Methods Ninety patients receiving acoustic neuroma resection were randomly divided into study group and control group , with 45 cases in each group. Neurophysiological monitoring was not conducted in the control group during the operation. And neurophysiological monitoring was conducted in the study group during the operation, then the resection range was defined according to the monitoring result. The postoperative classification of facial nerve function, half-year postoperative hearing function, facial paralysis and the incidence of complications were compared between the two groups. Results There were statistical differences in the postoperative classification of facial nerve function, half-year postoperative hearing function, facial paralysis and the incidence of complications between the two groups （P 〈 0.05）. Conclusion Neurophysiological monitoring during acoustic neuroma resection can accurately monitor the position of the facial nerve, can effectively protect the patients＇ facial nerve and is worthy of clinical promotion and application.

关 键 词：神经电生理监测 听神经瘤 面神经 保护作用 

分 类 号：R739.41[医药卫生—肿瘤]