Application Study of Neuroelectrophysiological Monitoring and Multimodal Image Fusion Technology in Microvascular Decompression Surgery for Hemifacial Spasm
Objective To explore the application value of neuroelectrophysiological monitoring and multimodal image fusion technology in microvascular decompression surgery for hemifacial spasm.Methods Sixty-two patients who underwent microvascular decompression surgery for hemifacial spasm at the 988th Hospital of Joint Logistics Support Force of the Chinese People's Liberation Army from March 2018 to August 2023 were selected as the study subjects.They were randomly divided into a control group(31 cases,only receiving microvascular decompression surgery)and an experimental group(31 cases,receiving neuroelectrophysiological monitoring and multimodal image fusion technology in addition to microvascular decompression surgery)according to a random number table method.The intervention effects of the two groups were compared.Results One week after surgery,the treatment efficacy in the experimental group(93.55%)was higher than that in the control group(74.20%),with statistically significant differences(P＜0.05).One month after surgery,there was no statistically significant difference in treatment efficacy between the experimental group(100.00%)and the control group(93.55%)(P＞0.05),but the cure rate(90.32%)in the experimental group was significantly higher than that in the control group(51.61%),with statistically significant differences(P＜0.05).The rates of hearing loss(3.23%)and facial paralysis(0)in the experimental group were lower than those in the control group(19.35%,12.90%),with statistically significant differences(P＜0.05).After adopting the combined technology,the responsible vessels in the experimental group were completely consistent with the vessels observed during surgery;the lateral spread response(LSR)waveform disappeared during microvascular decompression surgery,brainstem auditory evoked potentials(BAEP)were monitored,and there were no alarms under transcranial facial nerve motor evoked potential(Facial-MEP)monitoring.Conclusion The application of neuroelectrophysiological monitoring and multimodal image fusion technology in microvascular decompression surgery for hemifacial spasm can promote the improvement of cure rates and reduce complications,making it suitable for clinical use.
neuroelectrophysiological monitoringmultimodal image fusion technologyhemifacial spasmmicrovascular decompression surgery
万方数据
维普
