摘要
目的探索3D-TOF-MRA联合IONM技术在脑神经血管压迫综合征微血管减压术中的效果。方法2019年1月至2022年1月纳入的100例均是我院收治的脑神经血管压迫综合征微血管减压术患者,随机分二组。对照组采取术前3D-TOF-MRA检查,观察组患者则实施术前3D-TOF-MRA检查联合术中IONM技术。比较两组患者手术时间、住院时间、总有效率、并发症发生率、手术前后患者生存质量、术后两年复发率。结果观察组手术时间、住院时间短于对照组,P<0.05。观察组总有效率高于对照组,P<0.05。观察组并发症发生率低于对照组,P<0.05。观察组术后两年复发率和对照组无显著差异,P<0.05。手术后患者术后生存质量均优于对照组,P<0.05。结论脑神经血管压迫综合征微血管减压术患者实施术前3D-TOF-MRA检查联合术中IONM技术效果确切,可减少手术的时间,缩短住院时间,减少并发症,有效促进患者生存质量改善。
Objective To explore the efficacy of 3D-TOF-MRA combined with IONM technique in microvascular decompression for cerebral neurovascular compression syndrome.Methods 100 consecutive patients who underwent microvascular decompression for cerebral neurovascular compression syndrome were included from January 2019 to January 2022 in our hospita,were randomly divided into two groups.Preoperative 3D-TOF-MRA examination was taken in the control group,while patients in the observation group were given preoperative 3D-TOF-MRA examination combined with intraoperative IONM technique.Operative time,hospital stay,overall response rate,complication rate,patient's quality of life before and after surgery,and two-year postoperative recurrence rate were compared between the two groups.Results Operative time and hospital stay were shorter in the observation group than in the control group,P<0.05.The total effective rate in the observation group was higher than that in the control group,P<0.05.The complication rate of the observation group was lower than that of the control group,P<0.05.2 year postoperative recurrence rates in the observation group and the control group were not significantly different,P<0.05.The quality of postoperative survival of the patients who had undergone surgery was significantly better than that of the control group at P<0.05.Conclusions The efficacy of implementing preoperative 3D-TOF-MRA examination combined with intraoperative IONM technique in patients undergoing microvascular decompression for cerebral neurovascular compression syndrome is exact,which can reduce the time of surgery,reduce the length of hospital stay,reduce complications,and effectively promote improved patient quality of life.
作者
张岩
秦鹏
杨怡斐
ZHANG Yan;QIN Peng;YANG Yi-fei(CT Room,Xuchang People's Hospital,Xuchang 461000,Henan Province,China)
出处
《罕少疾病杂志》
2023年第1期21-22,49,共3页
Journal of Rare and Uncommon Diseases
