荧光引导联合电生理检测在脑动脉瘤夹闭术中的应用及对患者肢体功能的影响
[摘要] 目的 探讨荧光引导联合电生理检测在脑动脉瘤夹闭术中的应用及对患者肢体功能的影响。 方法 选取2015年1月～2017年7月到我院治疗的78例脑动脉瘤患者为研究对象，并严格按照随机分组的原则将所有患者平均分为研究组和对照组两组。对照组患者单纯使用荧光引导脑动脉瘤夹闭术，研究组患者使用荧光引导联合电生理检测指导患者脑动脉瘤夹闭术。 结果 研究组患者再手术比例、住院天数和并发症发生率均低于对照组患者（P<0.05），研究组患者术后肢体Fugl-meyer评分显著优于对照组（P<0.05），两组患者手术前CBV、CBF、MMT比较无明显差异（P>0.05），手术后研究组上述指标显著优于对照组（P<0.05），并且研究组患者格拉斯哥昏迷评分（GCS）结果也显著优于对照组（P<0.05）。 结论 我院在脑动脉瘤夹闭术中发现使用荧光引导联合电生理检测指导手术效果良好，应在临床上进一步推广应用。
[关键词] 荧光引导；电生理检测；脑动脉瘤夹闭术；肢体功能
[中图分类号] R651.12 [文献标识码] B [文章编号] 1673-9701（2018）14-0089-03
[Abstrac] Objective To investigate the application of fluorescence-guidance combined with electrophysiology in the cerebral aneurysm clipping and its influence on the limb function of patients. Methods A total of 78 patients with cerebral aneurysm who were treated in our hospital from January 2015 to July 2017 were selected as study subjects and all patients were equally divided into study group and control group according to the principle of randomization. Patients in the control group were treated with fluorescence-guided aneurysm clipping alone. Patients in the study group were treated fluorescence-guidance combined with electrophysiology for the cerebral aneurysm clipping. Results The proportion of reoperation， hospitalization time and complications in the study group were significantly lower than those in the control group（P<0.05）. Fugl-meyer score in the study group was significantly better than that in the control group（P<0.05）. There was ...
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