经颅电刺激面神经运动诱发电位在听神经瘤手术中的应用

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Abstract ObjectiveTo investigate predictive effect of facial nerve motor evoked potential(FNMEP)monitoring on postoperative facial nerve function in acoustic neuroma surgery.MethodsFrom June 2014 to April 2016,54 patients with of acoustic neuroma treated by surgery in Department of Neurosurgery of People′s Hospital of Ganzhou City were selected as research object,facial nerve function of 34 cases among whichmonitored by intraoperative FNMEP were as observation group,the other 20 cases were as control group,all patients were jointly detected by electromyogram and brainstem auditory evoked potential and body sensory evoked potentials.Postoperative neurological function of two groupswere evaluated by postoperative reference of House-Brackmann(H-B)facial nerve grading standards.ResultsIn the observation group,patients of H-B gradeⅠ and gradeⅡ were 30 cases,1 case of H-B gradeⅢ,1 case of H-B gradeⅣ,1 case of H-B gradeⅤ,1 case of H-B gradeⅥ,postoperative facial nerve function of 30 caseswere good,the good ratewas 88.24%(30/34);in the control group,patients of H-B gradeⅠand gradeⅡwere 13 cases,2 cases of H-B gradeⅢ,3 cases of H-B gradeⅣ,1 case of H-B gradeⅤ,1 case of H-B gradeⅥ,postoperative facial nerve function of 13 caseswere good,the good rate was 65.00%(13/20),the good rate of facial nerve function in two groups had significant difference (P＜0.05).ConclusionFNMEP can predict the postoperative facial nerve function,which can improve and supplement themonitoring techniques of facial nerve function in the present operation.

Key words： Acoustic neuroma Facial nervemotor evoked potential Facial nerve function Neural dysfunction

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	Articles by authors
	ZENG Hai-lan
	YANG Rui-jin
	JIANG Qiu-hua
	SONG Hai-min
	LUO De-fang

Cite this article:

ZENG Hai-lan,YANG Rui-jin,JIANG Qiu-hua, et al. Application of facial nerve motor evoked potential in acoustic neuroma surgery[J]. 中国当代医药, 2016, 23(34): 35-37.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2016/V23/I34/35

[1]	张帅.大型听神经瘤术中面神经功能保护及预后判断[D].长沙：中南大学，2011.
[2]	马思远，乔慧，贾桂军，等.经颅电刺激面神经运动诱发电位在小脑脑桥角区肿瘤手术中的应用[J].中华神经外科杂志，2014，30（4）：356-359.
[3]	董娜，张雪青，梁思泉.听神经瘤术中面神经电生理监测的应用进展[J].吉林医学，2016，37（7）：1775-1776.
[4]	周世军.经颅面神经运动诱发电位监测在听神经瘤手术中的应用[D].苏州：苏州大学，2015.
[5]	马思远，乔慧.经颅电刺激运动诱发电位在神经外科的应用[J].中华神经外科杂志，2014，30（1）：91-93.
[6]	张旸，徐海涛，许媛，等.神经电生理监测在听神经瘤切除术中保留面神经的效果[J].江苏医药，2015，41（19）：2283-2285.
[7]	赵学明，药天乐，万大海，等.面神经电生理监测在大型听神经瘤术中的应用[J].肿瘤研究与临床，2012，24（2）：917-920.
[8]	董元训，王雄伟，胡火军，等.面神经电生理监测在听神经瘤术中的应用研究[J].重庆医学，2013，42（3）：343-344.
[9]	庄乾宇，王树杰，仉建国，等.经颅电刺激运动诱发电位监测标准化方案在1543例脊柱畸形矫形手术中的应用[J].中国骨与关节外科，2015，8（1）：27-31.
[10]	郭常青，赵学明，药天乐，等.听神经鞘瘤术中面神经电生理监测的应用[J].中国医学创新，2014，11（13）：48-51.
[11]	张成亮.皮质体感诱发电位与经颅刺激运动诱发电位技术应用于评价脊柱手术患者脊髓功能的价值比较[J].医学综述，2014，20（23）：4408-4409.
[12]	黄进，姜晨，程超，等.综合电生理监测在听神经瘤手术中的应用[J].江苏医药，2016，42（4）：462-463.
[13]	玄鹏.神经电生理监测下听神经瘤显微手术治疗临床分析[D].新乡：新乡医学院，2014.
[14]	柴超.大型听神经瘤术中面神经电生理监测的意义[D].郑州：郑州大学，2014.
[15]	杨晓宇.面神经电生理监测在听神经瘤切除术中的临床分析[D].长春：吉林大学，2016.
[16]	董娜，张雪青，梁思泉.听神经瘤术中面神经电生理监测的应用进展[J].吉林医学，2016，37（7）：1775-1777.