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后颅窝脑肿瘤手术中颅神经电生理监护的作用

Monitoring cranial nerves in patients with posterior fossa tumor resected

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【作者】 毛之奇陆永建曾白云朱世强柯彦斌龙斌

【Author】 MAO Zhiqi,LU Yongjian,ZENG Baiyun,ZHU Shiqiang,KE Yanbin,LONG Bin(Neurosurgery Department,Second Affiliated Hospital of Guangzhou Medical College,Guangzhou 510260,China)

【机构】 广州医学院第二附属医院

【摘要】 目的:研究在后颅窝肿瘤切除术中运用术中神经电生理监护颅神经功能。方法:选取本院2008年1月~2009年6月后颅窝脑肿瘤患者23例,所有患者在肿瘤切除过程中均监护第Ⅴ、Ⅶ、Ⅸ、Ⅻ对颅神经,分析效果。结果:肿瘤全切17例,肿瘤近全切3例,肿瘤部分切除3例。术后3个月House-Brackmann面瘫Ⅴ级患者2例,Ⅲ~Ⅳ级3例,Ⅰ~Ⅱ级18例;吞咽功能减退2例。结论:后颅窝脑肿瘤手术中监护第Ⅴ、Ⅶ、Ⅸ、Ⅻ对颅神经肌电图能保护患者相应的颅神经功能。

【Abstract】 Objective:To study intraoperative cranial nerves monitoring in patients with posteiror fossa tumors resected. Methods:From January 2008 to June 2009,23 cases with posterior fossa tumor were followed up with facial muscle function after the tumor was resected with intraoperative cranial nerves monitoring.Results:The tumors in 17 cases were totally resected,3 cases subtotally resected,and 3 cases partially resected.At postoperative three months,there were 2 patients with House-Brackmann facial nerve Grade Ⅴ,3 patients with grade Ⅳ to Ⅲ,18 patients with Ⅱ to Ⅰ.Conclusion:Intraoperative monitoring cranial nerves with Ⅴ,Ⅶ,Ⅸ,Ⅻ could protect cranial nerves function during posterior fossa tumor being resected.

【关键词】 后颅窝肿瘤颅神经电生理
【Key words】 Posterior fossaTumorCranial nerveNeurophysiology
【基金】 广东省广州市医药卫生科技项目(2008-YB-163)
  • 【文献出处】 中国当代医药 ,China Modern Medicine , 编辑部邮箱 ,2010年19期
  • 【分类号】R739.41
  • 【被引频次】1
  • 【下载频次】48
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