中德临床肿瘤学杂志(英文版)2002，Vol.1Issue(3)：168-169,2.
听神经瘤术中面神经监测的临床研究
Intra-Operative Facial Nerve Monitoring in Acoustic Neurinoma Surgery
杨正明 1张智峰 1鲍文公 1雷霆 1陈坚 1薛德麟1
作者信息
- 1. 武汉华中科技大学同济医学院附属同济医院神经外科,430030
- 折叠
摘要
Abstract
Objective To determine the method and significance of facial nerve preservation during acoustic neurinoma surgery by intra-operative facial nerve monitoring (IFNM).Methods 62 patients were randomly assigned to the IFNM or the control group. Facial nerve function (FNF) was assessed by a modified House-Brackmann grading (HB) before the operation, 10 days and every two months after surgery and compared between the two groups. Results Ten days after surgery, 26/32 patients in the IFNM group and 15/30 patients in the control group had FNF HB grade Ⅰ-Ⅲ; FNF HB grade Ⅳ-Ⅴ was present in 6/32 in the IFNM group and 15/30 in the control group. During follow-up, 29/32 patients in the IFNM group and 20/30 patients in the control group had FNF HB grade Ⅰ-Ⅲ; FNF HB grade Ⅳ-Ⅴ was present in 3/32 in the IFNM group and 10/30 in the control group. All differences were statistically significant. Conclusion IFNM significantly improved anatomic and functional facial nerve preservation as well as the quality of life.关键词
听神经瘤/术中监测/面神经Key words
acoustic neurinoma/intraoperative monitoring/facial nerve分类
医药卫生引用本文复制引用
杨正明,张智峰,鲍文公,雷霆,陈坚,薛德麟..听神经瘤术中面神经监测的临床研究[J].中德临床肿瘤学杂志(英文版),2002,1(3):168-169,2.
