听神经瘤切除手术体位致神经损伤的原因分析及手术体位的改良

Reason analysis of the operation position of acoustic neuromas resection cause nerve damage and the modified operation position

目的探讨听神经瘤切除手术体位致神经损伤的原因和改良手术体位的方法。方法将80例在气管插管全麻下侧卧位行听神经瘤切除手术患者随机分为对照组和观察组,每组40例。观察组采用改良式侧卧位安置方法,对照组采用传统侧卧位的安置方法,比较两组患者术后1d因手术体位引起的神经损伤和肩背酸痛的情况。结果对照组患者术后出现健侧上肢麻木2例、患侧上肢麻木8例;健侧上肢疼痛2例、患侧上肢疼痛6例;肩背酸痛12例;观察组无一例患者发生肢体麻木、疼痛和肩背酸痛的情况(P<0.01)。结论改良式侧卧位安置方法能有效减少手术患者因体位引起的并发症,并能减轻患者痛苦。

Objective To explore the reason analysis of the operation position of acoustic neuromas resection cause nerve damage and the modified operation position. Methods 80 patients with general anesthesia under lateral position row acoustic neuromas surgery were randomly divided into companson group and observation group,40 cases in each group.The observation group uses modified lateral position placement methods,the comparison group uses the traditional lateral position placement methods,compared surgery position cause nerve damage and shoulder ache situation with the two groups patients postoperative 1 day. Results Companson group patients postoperative appear health side upper limb numbness in 2 cases,lateral upper limb numbness in 8 cases; health side upper limb pain in 2 cases,lateral upper Iimb pain in 6 cases; shoulder and back ache in 12 cases.The observation group have no patient happening numbness, pain and shoulder and back ache situation（P 〈 0.01）. Conclusion Modified lateral position placement method can effectively reduce the surgical patients caused by position complications,and can reduce the pain of patients.