荧光引导联合电生理检测在脑动脉瘤夹闭术中的应用及对患者肢体功能的影响  

Application of fluorescence-guidance combined with electrophysiology in cerebral aneurysm clipping and its influence on the function of limbs

作　　者：周翔[1] 王炜[1] 杨军 ZHOU Xiang;WANG Wei;YANG Jun(Department of Neurosurgery,Quhua Hospital in Zhejiang Province,Quzhou 324000,China)

机构地区：[1]浙江衢化医院神经外科,浙江衢州324000

出　　处：《中国现代医生》2018年第14期89-91,95,共4页China Modern Doctor

基　　金：浙江省衢州市科技计划指导性项目(20172072)

摘　　要：目的探讨荧光引导联合电生理检测在脑动脉瘤夹闭术中的应用及对患者肢体功能的影响。方法选取2015年1月~2017年7月到我院治疗的78例脑动脉瘤患者为研究对象,并严格按照随机分组的原则将所有患者平均分为研究组和对照组两组。对照组患者单纯使用荧光引导脑动脉瘤夹闭术,研究组患者使用荧光引导联合电生理检测指导患者脑动脉瘤夹闭术。结果研究组患者再手术比例、住院天数和并发症发生率均低于对照组患者(P<0.05),研究组患者术后肢体Fugl-meyer评分显著优于对照组(P<0.05),两组患者手术前CBV、CBF、MMT比较无明显差异(P>0.05),手术后研究组上述指标显著优于对照组(P<0.05),并且研究组患者格拉斯哥昏迷评分(GCS)结果也显著优于对照组(P<0.05)。结论我院在脑动脉瘤夹闭术中发现使用荧光引导联合电生理检测指导手术效果良好,应在临床上进一步推广应用。[Abstrac] Objective To investigate the application of fluorescence-guidance combined with electrophysiology in the cerebral aneurysm clipping and its influence on the limb function of patients. Methods A total of 78 patients with cerebral aneurysm who were treated in our hospital from January 2015 to July 2017 were selected as study subjects and all patients were equally divided into study group and control group according to the principle of randomization. Patients in the control group were treated with fluorescence-guided aneurysm clipping alone. Patients in the study group were treated fluorescence-guidance combined with electrophysiology for the cerebral aneurysm clipping. Results The proportion of reoperation, hospitalization time and complications in the study group were significantly lower than those in the control group（P〈0.05）. Fugl-meyer score in the study group was significantly better than that in the control group（P〈0.05）. There was no significant difference in CBV,CBF,MMT between the two groups before operation（P〈0.05）. The postoperative above indexes was significantly better in the study group than in the control group（P〈0.05）, and the Glasgow Coma Scale（GCS） was also significantly better than the control group（P〈0.05）. Conclusion Fluorescence-guidance combined with electrophysiology in the cerebral aneurysm clipping surgery is efficient in our hospital, it should be further popularized in clinical application.

关 键 词：荧光引导 电生理检测 脑动脉瘤夹闭术 肢体功能 

分 类 号：R651.12[医药卫生—外科学]