CAJ | 학술논문

目的探讨三叉神经根微血管减压术摆置侧俯卧位时对腋神经的压迫程度以及术后对患者造成手臂酸麻等症状的情况,为神经外科施行三叉神经根微血管减压术时选择合适的侧俯卧位提供依据.方法将44例实施三叉神经根微血管减压术的患者随机分成观察组与对照组各22例,观察2组患者在摆侧俯卧位时右手臂不同放置位置时对于术后患者的手臂功能的影响程度.结果手术完毕患者清醒后2组患者的手臂感觉、对疼痛的反应、上肢肿胀情况及活动灵活度比较差异显著.结论对于三叉神经根微血管减压术的侧俯卧位摆置需将患者的头部往前移,使右上肢脱离床体进行低位置固定,可以防止右上肢受压严重而造成神经受损或手臂功能受损.
목적 탐토삼차신경근미혈관감압술파치측부와위시대액신경적압박정도이급술후대환자조성수비산마등증상적정황,위신경외과시행삼차신경근미혈관감압술시선택합괄적측부와위제공의거.방법 장44례실시삼차신경근미혈관감압술적환자수궤분성관찰조여대조조각22례,관찰2조환자재파측부와위시우수비불동방치위치시대우술후환자적수비공능적영향정도.결과 수술완필환자청성후2조환자적수비감각、대동통적반응、상지종창정황급활동령활도비교차이현저.결론 대우삼차신경근미혈관감압술적측부와위파치수장환자적두부왕전이,사우상지탈리상체진행저위치고정,가이방지우상지수압엄중이조성신경수손혹수비공능수손.
Objective To discuss the application effect of lateral prone position in the left trigeminal nerve root microvascular decompression on the degree of compression on axillary nerve and arm discomfort,in order to supply evidence for selection of a suitable position during trigeminal nerve root microvascular decompression.Methods 44 cases who underwent microvascular decompression of trigeminal nerve roots were randomly divided into the observation group and the control group with 22 cases in each group.They were in lateral prone position with their arms placed in different positions.The influence on arm function was observed in two groups.Results The arm feeling,response to pain,the upper limb swelling and flexibility were statistically significant between two groups.Conclusions For lateral prone position arrangements during microvascular decompression of trigeminal nerve root,the patients' head should be moved ahead,the right arm should be out of bed and be fixed in a lower position,so that nerve and functional damage can be prevented by avoiding decompression of the right upper arm.