| 体感诱发电位监测技术在脑深部病变导航手术中的初步应用 |
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| 引用本文： | 葛玉元,贡志刚,兰青.体感诱发电位监测技术在脑深部病变导航手术中的初步应用[J].中国微侵袭神经外科杂志,2011,16(3). |
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| 作者姓名： | 葛玉元 贡志刚 兰青 |
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| 作者单位： | 1. 苏州大学附属第二医院神经外科,215004
2. 南京中医药大学苏州附属医院神经外科,215003 |
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| 基金项目： | 江苏省社会发展计划项目(编号:BS2005023) |
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| 摘 要： | 目的初步探讨体感诱发电位(SEP)监测技术辅助神经导航手术治疗脑深部病变的应用价值。方法回顾性分析23例脑深部病变的临床资料,病变位于脑室和胼胝体11例,丘脑4例,基底核区2例,岛叶2例,额叶深部3例,顶叶深部1例。在应用导航指导病灶切除的同时实时监测SEP。当术中波形发生明显异常时即通知术者调整或停止操作。结果病变全切除15例,大部切除6例,部分切除2例。术中SEP正常19例,其中发生可逆性变化1例,术中无变化18例;术后肌力较术前减退2例,术后肌力下降率10.5%。术中SEP发生不可逆性变化4例,其中波幅降低2例,波幅消失2例;术后肌力较术前均减退,术后肌力下降率100%。术中SEP正常者肌力下降率显著低于术中SEP发生不可逆变化者(P=0.002)。结论 SEP监测联合神经导航技术有助于安全、精确切除脑深部病变。
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| 关 键 词： | 脑肿瘤 神经导航 诱发电位 躯体感觉 监测 手术中 |
Preliminary application of somatosensory evoked potential monitoring in neuronavigation-guided operations for treating deep-seated brain lesions |
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| Ge Yuyuan,Gong Zhigang,Lan Qing.Preliminary application of somatosensory evoked potential monitoring in neuronavigation-guided operations for treating deep-seated brain lesions[J].Chinese Journal of Minimally Invasive Neurosurgery,2011,16(3). |
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| Authors: | Ge Yuyuan Gong Zhigang Lan Qing |
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| Institution: | Ge Yuyuan1,Gong Zhigang2,Lan Qing1 1.Department of Neurosurgery,Second Affiliated Hospital,Soochow University,Suzhou,Jiangsu 215004,China,2.Department of Neurosurgery,Suzhou Affiliated Hospital,Nanjing University of Chinese Medicine,Jiangsu 215003 |
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| Abstract: | Objective To primarily evaluate the clinical application of somatosensory evoked potential(SEP) monitoring for neuronavigation-guided operations in treating deep-seated brain lesions.Methods Clinical data of 23 patients with deep-seated brain lesions were analyzed retrospectively,including ventricle and corpus callosum in 11 cases,thalamus in 4,basal ganglia in 2,insula in 2,deep-seated frontal lobe in 3,deep-seated parietal lobe in 1.The resection of lesions was guided by neuronavigation and real-time SEP ... |
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| Keywords: | brain neoplasms neuronavigation evoked potentials somatosensory monitoring intraoperative |
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