术中神经电生理监测在桥小脑角肿瘤切除术的临床价值探讨  

Clinical value of intraoperative neurophysiological monitoring in cerebellopontine angle tumor resection

作　　者：高阳[1] GAO Yang(Mianyang Third People's Hospital,Sichuan Mianyang 621000,China)

机构地区：[1]绵阳市第三人民医院神经外科,四川绵阳621000

出　　处：《临床医药文献电子杂志》2017年第57期11097-11098,共2页Electronic Journal of Clinical Medical Literature

摘　　要：目的探究桥小脑角肿瘤切除术中引入神经电生理监测的临床价值。方法从我院2016年5月~2017年5月收治的小脑角肿瘤患者中随机选取15例进行试验,采取神经电生理监测仪监测其面部神经,取枕下乙状窦后行入路,使用显微镜作用将肿瘤切除,术后评估其解剖保留的面神经功能。结果肿瘤全切患者有13例(86.67%),次全切有2例(13.33%),死亡病例为0(0.00%);面神经解剖保留有14例(93.33%),未保留有1例(6.67%);术后随访House-Brackmann分级中:Ⅰ级、Ⅱ级、Ⅲ级、Ⅳ级、Ⅴ级及Ⅵ级分别有7例(46.67%)、5例(33.33%)、3例(20.00%)、1例(6.67%)、0例(0.00%),Ⅰ级+Ⅱ级几率为80.00%。结论引入术中神经电生理监测对保全行切除术桥小脑角肿瘤患者解剖面神经功能有积极意义。Objective Objective to explore the clinical value of neurophysiological monitoring in cerebellopontine angle tumor resection.Methods From May 2015 to May 2016 in our hospital,15 patients with cerebellar angle tumors were randomly selected for the experiment,To monitor the facial nerve by nerve electrophysiological monitor,Suboccipital retrosigmoid approach,Removal of tumor by microscope,The facial nerve function was evaluated after operation.Results Total tumor resection in 13 patients(86.67%),Subtotal resection was performed in 2 patients(13.33%),The mortality rate was 0(0%);Facial nerve dissection was reserved in 14 cases(93.33%),There were 1 cases(6.67%);Postoperative follow-up of House-Brackmann grade:Grade I,II,III,IV,V and VI respectively in 7 cases(46.67%),5 cases(33.33%),3 cases(20%),1 cases(6.67%),0 cases(0%),grade I+II probability 80%.Conclusion The intraoperative neurophysiological monitoring is of positive significance for the preservation of facial nerve function in patients with cerebellopontine angle tumors.

关 键 词：桥小脑角肿瘤 切除术 神经电生理监测 面神经 

分 类 号：R444[医药卫生—诊断学]