患有语言缺陷的患者的醒着切术:对48名患者进行了一项回顾性队列研究
Suzanne L Hartung1, Irene M C Huenges Wajer1,2, Martine J E van Zandvoort1,3
1Department of Neurology and Neurosurgery, University Medical Center Utrecht, Utrecht, the Netherlands.
Operative neurosurgery (Hagerstown, Md.)
|October 22, 2025
概括
醒着的脑部手术对于具有语言缺陷的质瘤患者来说是可行的. 在清醒手术期间的手术内语言监测有助于识别功能边界,并改善术后语言结果.
科学领域:
- 神经外科 神经外科
- 神经瘤学神经瘤学
- 认知神经科学 认知神经科学
背景情况:
- 对手术前出现语言缺陷的质瘤患者进行清醒手术的可行性进行评估.
- 评估手术内语言监测技术及其对结果的影响.
研究的目的:
- 确定在患有手术前语言缺陷的患者中清醒手术和手术内语言监测的适用性.
- 分析认知监测对质瘤患者手术后语言功能的影响.
主要方法:
- 对48名脑瘤患者进行了回顾性队列研究,这些患者在手术前有显著的语言缺陷.
- 使用小组和个人分析对手术前和手术后的语言缺陷进行比较.
- 对手术内语言监测程序和功能边界识别的评估.
主要成果:
- 在100%的患有手术前语言缺陷的患者中,醒着的手术和语言任务是可行的.
- 在90%的病例中,在手术期间发现了语言的功能边界.
- 患者在手术后3-6个月表现出稳定的语言理解和改善的语言生产.
结论:
- 醒着的大脑手术与手术内语言监测是可行的,并且适用于手术前语言缺陷的质瘤患者.
- 在清醒手术期间的认知监测对低级和高级质瘤患者都有好处,从而改善了语言结果.
- 这项研究证实了清醒手术在保护和改善这种患者群体的语言功能方面的价值.
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