神经功能监护在神经外科手术中的应用

Application of intraoperative neuromonitoring in neurosurgical procedures

目的探讨神经功能监护在神经外科手术中的可行性及其有效性。方法选取我院80例神经外科择期手术患者，随机分为研究组和对照组，术中分别予神经电生理监测技术及唤醒试验，并在其术后对各组手术疗效测评。结果研究组术后卡氏功能评分80分以上26例（65％），70分12例（30％），50分2例（5％），研究组术后神经功能及生存质量状态明显优于对照组，（P〈O．05）。结论神经功能监护在神经外科手术中可准确监测外周神经功能、有效定位功能区皮层，降低手术导致的神经损伤病残率，提高神经外科手术疗效。

Objective To explore the feasibility and validity of intraoperative neuromonitoring （IONM） in neurosurgical procedures. Methods 80 patients schedualed for neurosurgical treatment were randomly divided into a study group and a control group, 40 for each group. The control group received intraoperative wake-up test, while the study group received IONM. The efficacy of the procedures was assessed postoperatively. Results After surgical treatment, the Karnofsky Performance Scale Index showed 26 patients （65%） scored 80 points or greater, 12 （30%） scored, and 2 （5%） scored 50. The study group was superior to the control group in the improvement in postoperative neural function and quality of life （P〈0.05）. Conclusions Intraoperative neuromonitoring can accurately detect peripheral nerve function during neurosurgical procedures, effectively locate functional cortex, reduce nerve injuries associated with the procedures, and improve the efficacy of neurosurgical treatment.