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后颅凹肿瘤切除术前后脑干听觉诱发电位监测
引用本文:李勇!,江苏徐州,保建基,冯祖荫.后颅凹肿瘤切除术前后脑干听觉诱发电位监测[J].临床神经电生理学杂志,2000(2).
作者姓名:李勇!  江苏徐州  保建基  冯祖荫
作者单位:徐州市第一医院神经外科,河南医科大学一附院神经外科,河南医科大学一附院神经外科
摘    要:目的 :研究脑干听觉诱发电位 (BAEP)在后颅凹肿瘤切除术前后的监测价值。方法 :对35例后颅凹肿瘤患者进行术前术后BAEP动态监测 ,并以 10 0名听力正常的健康受试者作对照。结果 :术后BAEP的变化和临床过程及预后是平行一致的 ;术前BAEP异常者术后早期多有V波潜伏期延长 ;术后 6~ 10天检测 ,术前异常者多有明显恢复 ;术后潜伏期的恢复较波幅的恢复明显。结论 :BAEP适用于后颅凹肿瘤切除术后监测 ;术后BAEP改变能反映脑干功能和预测预后。

关 键 词:脑干听觉诱发电位  后颅凹肿瘤  监测

The post-operative monitoring of brainstem auditory evoked potentials in patients with posteior fossa tumors
LI Yong,BAO Jianji,FENG Zuyin. Dept of Neurosergery,Xuzhou First Hospitsl,Xuzhou.The post-operative monitoring of brainstem auditory evoked potentials in patients with posteior fossa tumors[J].Journal of Clinical Electroneurophysiology,2000(2).
Authors:LI Yong  BAO Jianji  FENG Zuyin Dept of Neurosergery  Xuzhou First Hospitsl  Xuzhou
Abstract:Objective:To study the pre and post operative monitoring value of brainstem auditory evoked potentials (BAEP) in patients with posterior fossa tumors.Methods:Pre and post operative monitoring of BAEP were done in 35 patients with posterior fossa tumors and 100 healthy subjects with normal auditions were served as controls.Results:The relationship between the changes of postoperative BAEP and clinical course, prognosis were parallel. Most of the patients with preoperative abnormal BAEP showed prolonged latency of V wave in the early stage after operation. The abnormal BAEP recovered during 6 to 10 days after the operation. The latency of BAEP recovered more remarkably than the amplitude.Conclusions:BAEP might be appropriate to be used in postoperative monitoing. The changes of postoperative BAEP could reflect the function of brain stem, and could predict the prognosis.
Keywords:Brainstem auditory evoked potential  Posterior fossa tumor  Monitoring
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