摘要
目的探讨乳突根治术中神经完整性监护仪监测的临床意义。方法回顾性分析在我院耳鼻喉科行乳突根治术的685例中耳炎患者的临床资料。根据术中是否使用神经完整性监护仪监测将患者分为两组:实验组269例(术中使用神经完整性监护仪监测),对照组416例(术中未使用神经完整性监护仪监测),分析两组患者面瘫的发生情况。结果两组中耳炎患者术后出现周围性面瘫比率不同,使用面神经术中监护的实验组无一例发生面瘫,而术中未使用面神经监护的对照组中有7例发生面瘫(1.68%),两组有统计学差异(P<0.05)。结论神经完整性监护仪在乳突根治术中能有效地帮助面神经定位,预防损伤面神经。
Objective To study the significance of using Nerve Integrity Monitoring System in Radical mastoidectomy Intraoperative monitor the use of nerve and 685 cases of middle ear complications after peripheral facial paralysis 7 to explore the relationship between micro-ear surgery monitor the use of nerve.Methods A retrospective analysis of 685 cases of middle ear Postoperative complication of peripheral facial paralysis,685 cases who were carried out mastoidectomy.These cases divided into two groups according to whether using Nerve Integrity Monitoring System intraoperating prodecure for that Analysis the facial nerve injuring situation.Study group,who use Nerve Integrity Monitoring System intraoperating prodecure,includes 269 cases,while control group,who do not,includes 416 cases.Results Study group has no one case of facial nerve paralysis,while there were 7 cases(1.68%) of facial nerve paralysis occured in control group,there were statistical differences between two groups.Conclusion Intraoperative nerve monitor can effectively help to find the position of the facial nerve,facial nerve injury prevention,and neurological function after surgery as a predictable indicator.
出处
《新疆医科大学学报》
CAS
2010年第5期565-567,共3页
Journal of Xinjiang Medical University
关键词
面神经
神经完整性监护仪
电刺激
中耳炎
乳突根治术
facial nerve
nerve integrity monitoring system
electronic stimulation
media otitis
mastoidectomy