微侵袭神经外科技术结合神经电生理监测在脑干海绵状血管瘤治疗中的效果

中华养生保健 ›› 2022, Vol. 40 ›› Issue (8): 10-13.

微侵袭神经外科技术结合神经电生理监测在脑干海绵状血管瘤治疗中的效果

苏赢, 惠志强, 黄健, 付涛, 许鹏^*

临沂市中心医院神经外科,山东临沂,276400

出版日期:2022-04-16 发布日期:2022-05-16
通讯作者: ^*许鹏,E-mail：619555786@qq.com。
作者简介:苏赢（1988.11-）,男,汉族,籍贯：山东省临沂市,本科,主治医师,研究方向：脑肿瘤、脑血管病、脊柱脊髓、脑外伤。

The Effect of Minimally Invasive Neurosurgery Technology Combined with Neurophysiological Monitoring in the Treatment of Brainstem Cavernous Hemangioma

SU Ying, HUI Zhi-qiang, HUANG Jian, FU Tao, XU Peng^*

Neurosurgery, Linyi Central Hospital, Linyi Shandong 276400,China

Online:2022-04-16 Published:2022-05-16

摘要/Abstract

摘要： 目的分析微侵袭神经外科技术结合神经电生理监测对脑干海绵状血管瘤的疗效。方法选择2018年1月~2021年1月临沂市中心医院收治的30例脑干海绵状血管瘤患者,依据随机数表法分为对照组（传统颅脑显微技术）和实验组（微侵袭神经外科技术+神经电生理监测）,每组15例,比较两组的临床疗效、手术时间、住院时间、日常生活活动能力和功能状态评分、机体功能状态、格拉斯哥预后量表（GOS）。结果实验组治疗总有效率显著高于对照组（P<0.05）;实验组的手术时间和住院时间明显短于对照组（P<0.05）;且术后实验组日常生活活动能力（ADL）评分和功能状态（KPS）评分明显高于对照组（P<0.05）;对照组术后预后GOS评分在1~3分者为40.00%,4~5分者为60.00%,实验组分别为6.67%、93.33%,两组比较差异有统计学意义（P<0.05）。结论微侵袭神经外科技术结合神经电生理监测脑干海绵状血管瘤疗效显著,可有效促进患者机体恢复,提高日常活动能力和功能状态,改善生活质量和睡眠质量,安全性高,具有临床借鉴意义。

关键词: 微侵袭神经外科技术, 神经电生理监测, 脑干海绵状血管瘤

Abstract: Objective To analyze the curative effect of minimally invasive neurosurgery technique combined with neurophysiological monitoring on brainstem cavernous hemangioma. Methods 30 patients with brainstem cavernous hemangioma admitted to Linyi Central Hospital from January 2018 to January 2021 were selected and divided into control group (traditional brain microsurgery) and experimental group (minimally invasive neurosurgery technique + neurosurgery Electrophysiological monitoring) according to the random number table method, 15 patients in each group. The clinical efficacy, operation time, hospitalization time, the activities of daily living and functional status, the functional status of body and the Glasgow Outcome Scale (GOS) of the two groups were compared. Results The total effective rate of treatment in the experimental group was significantly higher than that in the control group (P<0.05). The operation time and hospital stay in the experimental group were significantly shorter than those in the control group (P<0.05). The postoperative activities of daily living (ADL) in the experimental group were significantly shorter. The scores and functional status (KPS) scores were significantly higher than those in the control group (P<0.05). The postoperative GOS scores in the control group accounted for 40.00% of the scores from 1 to 3, 60.00% from 4 to 5, and 6.67% and 93.33% in the experimental group respectively, and there was a significant difference between the two groups (P<0.05). Conclusion Micro-invasive neurosurgery technology combined with nerve electrophysiology monitoring brainstem cavernous hemangioma has a significant curative effect, can effectively promote the recovery of the patient's body, improve the ability of daily activities and functional status, and has a significant effect on improving the quality of life and sleep quality,with high safety and significantly clinical reference.

Key words: minimally invasive neurosurgery techniques, neurophysiological monitoring, brainstem cavernous hemangioma

中图分类号:

R739.4

苏赢, 惠志强, 黄健, 付涛, 许鹏. 微侵袭神经外科技术结合神经电生理监测在脑干海绵状血管瘤治疗中的效果[J]. 中华养生保健, 2022, 40(8): 10-13.

SU Ying, HUI Zhi-qiang, HUANG Jian, FU Tao, XU Peng. The Effect of Minimally Invasive Neurosurgery Technology Combined with Neurophysiological Monitoring in the Treatment of Brainstem Cavernous Hemangioma[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(8): 10-13.

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