后颅窝脑肿瘤手术中颅神经电生理监护的作用 |
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引用本文: | 毛之奇,陆永建,曾白云,朱世强,柯彦斌,龙斌.后颅窝脑肿瘤手术中颅神经电生理监护的作用[J].中国当代医药,2010,17(19):5-6. |
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作者姓名: | 毛之奇 陆永建 曾白云 朱世强 柯彦斌 龙斌 |
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作者单位: | 广州医学院第二附属医院,广东,广州,510260 |
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基金项目: | 广东省广州市医药卫生科技项目 |
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摘 要: | 目的:研究在后颅窝肿瘤切除术中运用术中神经电生理监护颅神经功能。方法:选取本院2008年1月~2009年6月后颅窝脑肿瘤患者23例,所有患者在肿瘤切除过程中均监护第Ⅴ、Ⅶ、Ⅸ、Ⅻ对颅神经,分析效果。结果:肿瘤全切17例,肿瘤近全切3例,肿瘤部分切除3例。术后3个月House-Brackmann面瘫Ⅴ级患者2例,Ⅲ~Ⅳ级3例,Ⅰ~Ⅱ级18例;吞咽功能减退2例。结论:后颅窝脑肿瘤手术中监护第Ⅴ、Ⅶ、Ⅸ、Ⅻ对颅神经肌电图能保护患者相应的颅神经功能。
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关 键 词: | 后颅窝 肿瘤 颅神经 电生理 |
Monitoring cranial nerves in patients with posterior fossa tumor resected |
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Authors: | MAO Zhiqi LU Yongjian ZENG Baiyun ZHU Shiqiang KE Yanbin LONG Bin |
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Institution: | (Neurosurgery Department,Second Affiliated Hospital of Guangzhou Medical College,Guangzhou 510260,China) |
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Abstract: | Objective:To study intraoperative cranial nerves monitoring in patients with posteiror fossa tumors resected. Methods:From January 2008 to June 2009,23 cases with posterior fossa tumor were followed up with facial muscle function after the tumor was resected with intraoperative cranial nerves monitoring.Results:The tumors in 17 cases were totally resected,3 cases subtotally resected,and 3 cases partially resected.At postoperative three months,there were 2 patients with House-Brackmann facial nerve Grade Ⅴ,3 patients with grade Ⅳ to Ⅲ,18 patients with Ⅱ to Ⅰ.Conclusion:Intraoperative monitoring cranial nerves with Ⅴ,Ⅶ,Ⅸ,Ⅻ could protect cranial nerves function during posterior fossa tumor being resected. |
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Keywords: | Posterior fossa Tumor Cranial nerve Neurophysiology |
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