Abstract
Objective:To observe application values of intraoperative ultrasound combined with neuro electrophysiological detection in the spinal cord glioma surgery.Methods:Sixty patients with spinal cord glioma hospitalized in Baoding First Central Hospital from January 2016 to January 2018 were selected, randomly divided into two groups by the random number table method, with 30 cases of each group. PASS software was used to calculate the sample size. The control group was treated with traditional microsurgery, while the experimental group was treated with intraoperative ultrasound combined with neuro electrophysiological testing. The operation time, intraoperative blood loss, postoperative hospital stays, degree of tumor resection, clinical efficacy, recovery of neurological function, recovery of health status, quality of life score, and 2-year recurrence rate of the two groups of patients were observed and compared.Results:The operation time of the experimental group was longer than that of the control group, and the postoperative hospital stay was shorter than that of the control group. The complete tumor resection rate, complete remission rate and postoperative scale scores of the experimental group were significantly higher than those of the control group, while the recurrence rate within two years was significantly lower than that of the control group. The above differences were statistically significant (p<0.05).Conclusions:Intraoperative ultrasound combined with neuro-electrophysiological detection for spinal glioma has more adequate protection of nerve function, high clinical complete remission rate, more thorough tumor resection, and lower recurrence rate than traditional microsurgery, which is worthy of clinical application.
Highlights
Spinal cord glioma is a rare diffuse midline glioma.[1]
If the mass excision level is excessively low for the purpose of protecting nerves of the normal spinal cord, it is
Ethical approval: The study was approved by the Institutional Ethics Committee of Baoding First Central Hospital (No# [2020]042; Date: 21 May, 2020), and written informed consent was obtained from all participants
Summary
Spinal cord glioma is a rare diffuse midline glioma.[1] The average age of patients attacked by it is 40; and a ratio of male to female cases is 18:7. Predilection sites are proved to be cervical and thoracic segments, while its incidence in lumbar vertebra is low.[2] At present, the major treatment approach of this disease is surgery.[3] performing an operation may damage the normal spinal cord and relevant nerves because the tumor is in the spinal cord, causing corresponding postoperative neurological disorders among patients. If the mass excision level is excessively low for the purpose of protecting nerves of the normal spinal cord, it is
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