Профилактика и хирургическая коррекция повреждений нервов при удалении опухолей мосто-мозжечковой локализации

Аннотация

Subjects of the inquiry: analysis neurosurgery treatment of 74 patients with tumours cerebello-pontine localization is carried out. Aim of the inquiry: improvement of results of surgical treatment of the patients with tumours cerebello-pontine localization by decrease prophylaxis and surgical correction after operation infringement function of skull-brain nerves. Method of inquiry: the estimation before and after operational of the status neurology is carried out 74 patients with operations concerning a tumours cerebellopontine localization are assembled neuroophtalmology, neurophysiology, ultrasonic and neuroradiology data. The results achieved and their novelty. On the basis of the received results of research adequate tactics is developed and the surgical approach is advanced at tumours cerebello-pontine localizations allowin lowering frequency after operation infringement function of skull-brain nerves havin direct correlation connect with the size and having of tumours. On the basis of the data carried out electroneuromiografy infringement function of an obverse nerve are determined the indications and work out to realization of surgical correction him after removal of a tumours cerebello-pontine localization. Practical value. The offered complex approach in surgery of tumours cerebello-pontine localizations has allowed to improve considerably results of surgical treatment of patients with the given pathology. The surgical correction after operation infringement function of an obverse nerve by a method reinnervation him peripheral department of a trunk by the nerve-donor has allowed to achieve significant restoration innervations of muscles of the person, promoted improvement of quality of life of the patients with the given pathology. Degree of embed and economic efficiency: by results of work efficiency proposals (№7, №8) are made out. The results of job promote decrease after operation neurology complications, death of the patients up to 12,2 % and improve the forecast of surgical intervention. Sphere of usage: medicine, neurosurgery.