摘要
目的:探讨神经电生理监测下显微切除术对听神经瘤患者的影响。方法:回顾性分析2017年12月—2022年12月蚌埠医学院第一附属医院行显微切除术治疗的62例听神经瘤患者的临床资料,根据是否使用神经电生理监测分为对照组31例与观察组31例。对照组常规行显微切除术治疗,观察组于神经电生理监测下行显微切除术。对比两组的手术情况、并发症发生情况、面神经功能保护情况及生活质量。结果:观察组手术时间短于对照组,术中出血量少于对照组,且观察组肿瘤全切除率为93.55%,高于对照组的64.52%,差异有统计学意义(P<0.05)。观察组并发症发生率为9.68%,低于对照组的35.48%,差异有统计学意义(P<0.05)。术后6个月,观察组面神经功能Ⅰ级率高于对照组,且观察组面部神经功能保留率为93.55%,高于对照组的70.97%,差异有统计学意义(P<0.05)。术后6个月,两组健康调查简表(SF-36)评分均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:神经电生理监测下显微切除术治疗听神经瘤患者,可有效缩短手术时间,减少术中出血量,提升肿瘤全切除率,降低并发症发生率,有效保护面神经功能,改善患者术后生活质量。
Objective:To investigate the effect of microscopic resection under neuroelectrophysiological monitoring in patients with acoustic neuroma.Method:The clinical data of 62 patients with acoustic neuroma who underwent microscopic resection in the First Affiliated Hospital of Bengbu Medical College from December 2017 to December 2022 was retrospective analyzed.The patients were divided into control group with 31 cases and observation group with 31 cases according to whether neuroelectrophysiological monitoring was used.The control group did not undergo neuroelectrophysiological monitoring during the operation,while the observation group underwent neuroelectrophysiological monitoring during the operation.The operation status,complications,facial nerve function protection and quality of life were compared between the two groups.Result:The operation time in the observation group was shorter than that in the control group,and the amount of intraoperative blood loss was less than that in the control group,and the total tumor resection rate in the observation group was 93.55%,higher than 64.52%in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 9.68%,lower than 35.48%in the control group,the difference was statistically significant(P<0.05).At 6 months after operation,the gradeⅠrate of facial nerve function in the observation group was better than that in the control group,and the retention rate of facial nerve function in the observation group was 93.55%,higher than 70.97%in the control group,the differences were statistically significant(P<0.05).At 6 months after surgery,the MOS 36-item short-form health survey(SF-36)scores in both groups were higher than those before surgery,and the scores in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The application of neuroelectrophysiological monitoring in the treatment of acoustic neuroma patients undergoing micr
作者
张辉
邓明亮
李磊
娄飞云
ZHANG Hui;DENG Mingliang;LI Lei;LOU Feiyun(The First Affiliated Hospital of Bengbu Medical College,Bengbu 233004,China)
出处
《中外医学研究》
2023年第31期131-135,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
神经电生理监测
显微切除术
听神经瘤
面神经功能
生活质量
Neuroelectrophysiological monitoring
Microscopic resection
Acoustic neuroma
Facial nerve function
Quality of life
