医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2014年
11期
2189-2190,2194
,共3页
陈汉民%王文鑫%廖圣芳
陳漢民%王文鑫%廖聖芳
진한민%왕문흠%료골방
神经导航%诱发电位,躯体感觉%电刺激%监测,手术中%显微外科手术%脑/解剖学和组织学
神經導航%誘髮電位,軀體感覺%電刺激%鑑測,手術中%顯微外科手術%腦/解剖學和組織學
신경도항%유발전위,구체감각%전자격%감측,수술중%현미외과수술%뇌/해부학화조직학
Neuronavigation%Evoked Potentials,Somatosensory%Electric Stimulation%Monitoring,Intraoperative%Microsurgery%Brain/AH
目的 探讨神经导航和电生理监测在中央沟附近病变切除术中的应用。方法 本院收治的14例中央沟附近病变患者,在神经导航和电生理监测下行显微手术切除病变,观察其临床疗效。结果 本组中病变全切除9例,大部分切除5例。术后出现对侧肢体肌力减退2例,偏瘫1例,术前肢体肌力减退加重2例,3例肢体运动障碍者术后1个月左右好转。结论 联合应用神经导航和电生理监测技术在中央沟附近病变切除术中具有较大的临床实用价值。
目的 探討神經導航和電生理鑑測在中央溝附近病變切除術中的應用。方法 本院收治的14例中央溝附近病變患者,在神經導航和電生理鑑測下行顯微手術切除病變,觀察其臨床療效。結果 本組中病變全切除9例,大部分切除5例。術後齣現對側肢體肌力減退2例,偏癱1例,術前肢體肌力減退加重2例,3例肢體運動障礙者術後1箇月左右好轉。結論 聯閤應用神經導航和電生理鑑測技術在中央溝附近病變切除術中具有較大的臨床實用價值。
목적 탐토신경도항화전생리감측재중앙구부근병변절제술중적응용。방법 본원수치적14례중앙구부근병변환자,재신경도항화전생리감측하행현미수술절제병변,관찰기림상료효。결과 본조중병변전절제9례,대부분절제5례。술후출현대측지체기력감퇴2례,편탄1례,술전지체기력감퇴가중2례,3례지체운동장애자술후1개월좌우호전。결론 연합응용신경도항화전생리감측기술재중앙구부근병변절제술중구유교대적림상실용개치。
Objective]To explore the application of neuronavigation and electrophysiological monitoring in the resection of lesions near the central sulcus .[Methods]A total of 14 patients with lesions near the central sulcus in our hospital underwent microsurgical procedures assisted with neuronavigation and electrophysiological monito‐ring .Clinical efficacy was observed .[Results]In the group ,9 patients underwent total resection and 5 patients un‐derwent partial resection .After operation ,contralateral limb muscle strength impairment occurred in 2 patients af‐ter operation ,and hemiplegia occurred in 1 patient ,and limb muscle strength impairment was aggravated in 2 pa‐tients .The 3 patients with limb movement disorder got better about one month after operation .[Conclusion]The combination of intraoperative neuronavigation and electrophysiological monitoring is of great clinical practical value in the resection of lesions near the central sulcus .