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电生理监测对微创治疗听神经瘤面神经功能的中长期影响。

The medium and long-term effect of electrophysiologic monitoring on the facial nerve function in minimally invasive surgery treating acoustic neuroma.

作者信息

Hou Baohui

机构信息

Department of Neurosurgery, Dezhou Municipal Hospital, Dezhou, Shandong 253012, P.R. China.

出版信息

Exp Ther Med. 2018 Mar;15(3):2347-2350. doi: 10.3892/etm.2018.5683. Epub 2018 Jan 2.

Abstract

The medium and long-term effects of electrophysiologic monitoring on the facial nerve function in minimally invasive surgery treating acoustic neuroma were studied. Sixty-two patients with acoustic neuroma taking minimally invasive surgeries in Dezhou Hospital from August 2014 to September 2015 were selected and randomly divided into 29 cases of the control group and 33 cases of the observation group. Intraoperative electrophysiologic monitoring was applied to the observation group, but not to the control group. The effects of the surgeries were compared. Comparisons on the surgical resection rate and the surgery length between two groups showed no statistical differences (P>0.05); the anatomical and functional preservation rate of facial nerves, as well as the score of survival quality in the observation group prominently proceeded that in the control group, and the differences were statistically significant (P>0.05). In conclusion, the application of the electrophysiologic monitoring on facial nerve function in minimally invasive surgery treating acoustic neuroma can effectively increase the anatomical and functional preservation rate of facial nerves, providing certain clinical significance to the improvement of living quality.

摘要

研究了电生理监测对微创治疗听神经瘤手术中面神经功能的中长期影响。选取2014年8月至2015年9月在德州市医院接受微创手术的62例听神经瘤患者,随机分为对照组29例和观察组33例。观察组术中应用电生理监测,对照组未应用。比较两组手术效果。两组手术切除率和手术时长比较,差异无统计学意义(P>0.05);观察组面神经解剖和功能保留率以及生存质量评分均显著优于对照组,差异有统计学意义(P<0.05)。结论:电生理监测应用于微创治疗听神经瘤手术中的面神经功能,可有效提高面神经解剖和功能保留率,对改善生活质量具有一定临床意义。

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