[1]林国中 王振宇 马长城 赵 薇.神经电生理监测下显微手术切除脊髓髓内肿瘤[J].中国临床神经外科杂志,2015,(11):647-650.[doi:10.13798/j.issn.1009-153X.2015.11.003]
 LIN Guo-zhong,WANG Zhen-yu,MA Chang-cheng,et al.Clinical value of intraoperative electrophysiological monitoring to microsurgery for intramedullary spinal tumors[J].,2015,(11):647-650.[doi:10.13798/j.issn.1009-153X.2015.11.003]
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神经电生理监测下显微手术切除脊髓髓内肿瘤()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2015年11期
页码:
647-650
栏目:
论著
出版日期:
2015-11-24

文章信息/Info

Title:
Clinical value of intraoperative electrophysiological monitoring to microsurgery for intramedullary spinal tumors
作者:
林国中 王振宇 马长城 赵 薇
100191 北京,北京大学第三医院神经外科;
通讯作者:马长城,E-mail:leenho@163.com
Author(s):
LIN Guo-zhong WANG Zhen-yu MA Chang-cheng ZHAO Wei
Department of Neurosurgery, The Third Hospital, Peking University, Beijing 100191, China
关键词:
脊髓髓内肿瘤显微手术神经电生理监测
Keywords:
Intramedullary spinal tumors Microsurgery Intraoperative electrophysiological monitoring Curative effect
分类号:
R 739.42; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2015.11.003
文献标志码:
A
摘要:
目的 探讨在神经电生理监测下显微手术切除脊髓髓内肿瘤的效果。方法 回顾性分析2009年12月至2015年2月收治的102例髓内肿瘤患者临床资料。采用后正中入路手术切除肿瘤,所有手术均在神经电生理监测下进行。结果 肿瘤全切52例(50.98%),大部分切除48例(47.06%),部分切除2例(1.96%)。术后2周神经功能障碍改善16例(15.69%),无变化20例(19.61%),加重66例(64.7%)。98例随访3个月~2年,神经功能较术前改善94例(92.16%),其中完全正常者67例(65.69%);症状仍未恢复到术前4例(3.92%),肿瘤复发4例(3.92%)。结论 采用显微手术切除髓内肿瘤是治疗该病的有效方法,术中神经电生理监测有助于手术的安全进行。
Abstract:
Objective To explore the clinical effect of microsurgery under intraoperative electrophysiological monitoring on intramedullary spinal tumors (IMST). Methods The clinical data of 102 patients with IMST, who received the microsurgery through the posterior midline approach under the intraoperative electrophysiologic monitoring using somatosensory evoked potentials (SEP), motor evoked potentials (MEP) and electromyography (EMG) from December 2009 to February 2015 in our hospital, were analyzed retrospectively. Results The total resection of IMST was achieved in 52 patients (50.98%), subtotal in 48 (47.06%) and part in 2 (1.96%). The neurologic function was improved in 16 patients (15.69%), unchanged in 20 (19.61%) and worsened in 66 (64.71%) 2 weeks after the operation. Of 98 patients followed up from 3 to 24 months, 4 suffered from the recurred tumors, 67 (65.69%) returned to normal and 27 (26.47%) were improved in the symptoms. Conclusions Microsurgical resection is an effective method to treat IMST. Intraoperative electrophysiological monitoring is helpful to the decrease in the surgery-related injuries and postoperative complications in the patients with IMST.

参考文献/References:

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备注/Memo

备注/Memo:
2015-07-08收稿
更新日期/Last Update: 2015-11-25