脑运动功能区病变患者术中采用神经电生理监测对其预后评估的作用

王伟; 廉海平; 王拓; 王茂德

doi:10.16016/j.1000-5404.201701073

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脑运动功能区病变患者术中采用神经电生理监测对其预后评估的作用

临床医学 | 更新时间：2026-01-09

- 脑运动功能区病变患者术中采用神经电生理监测对其预后评估的作用
- Intraoperative neuromonitoring for patients with brain lesions in motor eloquent areas and its effect on postoperative prognosis
- 第三军医大学学报 2017年39卷第16期页码：1664-1668
- 作者机构：
- 作者简介：
- 基金信息：
  
  陕西省卫生厅科研基金(扶植项目，2012D62);西安交通大学临床新技术(XJLS-2015-026)
- DOI：10.16016/j.1000-5404.201701073
  中图分类号：
- 收稿：2017-01-11，
  
  纸质出版：2017-08-30
- 稿件说明：
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王伟, 廉海平, 王拓, 等. 脑运动功能区病变患者术中采用神经电生理监测对其预后评估的作用[J]. 第三军医大学学报, 2017,39(16):1664-1668.

Wei WANG, Haiping LIAN, Tuo WANG, et al. Intraoperative neuromonitoring for patients with brain lesions in motor eloquent areas and its effect on postoperative prognosis[J]. Journal of Third Military Medical University, 2017, 39(16): 1664-1668.
王伟, 廉海平, 王拓, 等. 脑运动功能区病变患者术中采用神经电生理监测对其预后评估的作用[J]. 第三军医大学学报, 2017,39(16):1664-1668. DOI： 10.16016/j.1000-5404.201701073.

Wei WANG, Haiping LIAN, Tuo WANG, et al. Intraoperative neuromonitoring for patients with brain lesions in motor eloquent areas and its effect on postoperative prognosis[J]. Journal of Third Military Medical University, 2017, 39(16): 1664-1668. DOI： 10.16016/j.1000-5404.201701073.

摘要

Abstract

Objective

To determine the effect of intraoperative neuromonitoring (IONM) on the grade of postoperative muscle strength grading scale and the score of Karnofsky performance scale (KPS) for the patients with intracerebral lesions located in motor eloquent areas.

Methods

A retrospective study was performed in the patients with intracerebral lesions located in motor eloquent areas who were surgically treated in our department from January 2007 to November 2016. In 14 d after operation

the changes of KPS and muscle strength grade were compared between IONM group and non-IONM group. Furthermore

univariate logistic regression analysis was performed to reveal potential risk factors for postoperative KPS and muscle strength grade.

Results

Two hundred and nine cases were enrolled

including 129 cases in the IONM group and 80 in the non-IONM group. There were more patients experienced an even or improved KPS and muscle strength grade post-operatively in the IONM group than the non-IONM group (

0.05). Univariate logistic regression analysis showed that IONM was a protective factor for even or improved muscle strength grade (

=2.075

95%

: 1.509~4.068

=0.033) and KPS (

=2.481

95%

: 1.254~4.910

=0.009).

Conclusion

IONM in the resection for lesions located in motor area can contribute to the reduction of postoperative motor impairment and improvement of postoperative quality of life.

关键词

Keywords

references

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