| 听神经瘤术中面神经功能监测22例临床研究 |
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| 引用本文： | 贺宇波,吉宏明,赵建伟,陈胜利,张刚利,李荔荣. 听神经瘤术中面神经功能监测22例临床研究[J]. 山西医科大学学报, 2011, 42(8): 672-675. DOI: 10.3969/J.ISSN.1007-6611.2011.08.018 |
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| 作者姓名： | 贺宇波 吉宏明 赵建伟 陈胜利 张刚利 李荔荣 |
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| 作者单位： | 山西省人民医院神经外科,太原,030012 |
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| 摘 要： | 目的探讨术中面神经监测对术后面神经功能保留的影响。方法使用英国牛津公司Medelec神经生理术中监测仪,对22例听神经瘤术中进行面神经自发面肌电图及电刺激诱发面肌电图监测。结果通过术中监测自发肌电图结合电刺激诱发肌电图可以精确判断面神经的位置;本组22例大中型听神经瘤,术后6月面神经H-B分级Ⅰ-Ⅱ级13例,Ⅲ级2例,Ⅳ级1例,Ⅴ级1例,Ⅵ级5例。结论术中肌电图监测可以提示面神经的位置和走行,为手术时避免损伤神经提供依据;肿瘤切除后可帮助确认面神经结构是否完整;全切肿瘤后引出肌电图的最小电刺激强度与面神经预后密切相关。
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| 关 键 词： | 术中监测 听神经瘤 面神经 肌电图 |
Clinical investigation on 22 cases of acoustic neuromas with intraoperative facial nerve function monitoring |
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| HE Yu-bo,JI Hong-ming,ZHAO Jian-wei,CHEN Sheng-li,ZHANG Gang-li,LI Li-rong. Clinical investigation on 22 cases of acoustic neuromas with intraoperative facial nerve function monitoring[J]. Journal of Shanxi Medical University, 2011, 42(8): 672-675. DOI: 10.3969/J.ISSN.1007-6611.2011.08.018 |
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| Authors: | HE Yu-bo JI Hong-ming ZHAO Jian-wei CHEN Sheng-li ZHANG Gang-li LI Li-rong |
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| Affiliation: | HE Yu-bo,JI Hong-ming,ZHAO Jian-wei,CHEN Sheng-li,ZHANG Gang-li,LI Li-rong(Dept of Neurosurgery,Shangxi Provincial People's Hospital,Taiyuan 030012,China) |
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| Abstract: | Objective To explore the influence of intraoperative monitoring on postoperative facial nerve function in acoustic neuroma patients.Methods The facial nerve spontaneous and stimulated electromyography(EMG) of 22 cases of acoustic neuromas were monitored by Oxford company Medelec intraoperative neurophysiologic monitor.Results The position of facial nerve was correctly located via intraoperative monitoring spontaneous EMG combined with stimulated EMG.According to House-Brackmann facial nerve grading system,t... |
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| Keywords: | intraoperative monitoring acoustic neuroma facial nerve electromyography |
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