| 听觉诱发电位监测在面肌痉挛显微血管减压术中的应用 |
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| 引用本文： | 李锐,陈国强,郭京.听觉诱发电位监测在面肌痉挛显微血管减压术中的应用[J].中国微侵袭神经外科杂志,2004,9(5):199-201. |
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| 作者姓名： | 李锐 陈国强 郭京 |
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| 作者单位： | 北京中日友好医院神经外科,北京,100029 |
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| 摘 要： | 目的探讨减少显微血管减压术(MVD)治疗面肌痉挛术后听力障碍的有效方法。方法对440例面肌痉挛病人在MVD中采用脑干听觉诱发电位(BAEP)监测,根据监测结果的实时提示,找出影响听力的因素并加以解除。结果采用BAEP监测后术后听力障碍的发生率由以往手术的7.1%下降到目前的2.5%。结论术中BAEP监测对减少治疗面肌痉挛时所造成的听力障碍具有显著的意义。
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| 关 键 词： | 面肌痉挛 显微血管减压术 听力障碍 听觉诱发电位 |
| 文章编号： | 1009-122X(2004)05-0199-03 |
| 修稿时间： | 2003年11月24 |
Application of intraoperative monitoring of brain stem auditory evoked potentialin microvascular decompression for hemifacial spasm |
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| LI Rui,CHEN Guoqiang,GUO Jing.Application of intraoperative monitoring of brain stem auditory evoked potentialin microvascular decompression for hemifacial spasm[J].Chinese Journal of Minimally Invasive Neurosurgery,2004,9(5):199-201. |
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| Authors: | LI Rui CHEN Guoqiang GUO Jing |
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| Institution: | LI Rui,CHEN Guoqiang,GUO JingDepartment of Neurosurgery,China-Japan Friendship Hospital,Beijing 100029,China |
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| Abstract: | Objective To explore the effective tactics of reducing hearing impairment in microvascular decompression (MVD) for hemifacial spasm. Methods The intraoperative brain stem auditory evoked potential (BAEP) was monitored in 440 patients of hemifacial spasms during their MVD. According to the real-time results of BAEP, the factors that might impair hearing could be immediately found out and resolved. Results The rate of hearing impairment decreased remarkably from 7.1% to 2.5% after the utilization of BAEP monitoring. Conclusion The intraoperative monitoring of BAEP could significantly reduce the hearing impairment of MVD for hemifacial spasm. |
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| Keywords: | hemifacial spasm microvascular decompression hearing impairment brain stem auditory evoked potential (BAEP) |
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