2011, nr. 1 - Academia de Ştiinţe a Moldovei

Ştiinţe Medicale
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Rezumat
Chirurgia cerebrală și medulară este o metodă de risc în
tratarea maladiilor neurochirurgicale, care intraoperator pot
cauza leziuni atât structurilor cerebrale, cât și celor medulare.
La moment nu există un tratament conservator propriuzis
pentru tumorile cerebrale și medulare. Singurul tratament
rațional astăzi este considerat cel chirurgical. Metodele
imagistice detectează schimbările din structurile țesutului
cerebral și celui medular, în timp ce metodele electrofi ziologice
apreciază schimbările funcționale ale țesutului cerebral,
oferind avantajul monitorizării intraoperatorii. Monitoringul
neurofi ziologic intraoperatoriu este introdus cu scopul
de a reduce riscul defi citului neurologic postoperatoriu.
Metoda de monitorizare intraoperatorie propusă este
actuală și necesită studiere detaliată, cu implementarea în
instituţiile medicale.
Summary
Th e cerebral and medular surgery represents the risk
method in the neurosurgical disease treatment that can cause
intraoperative lesion in the cerebral and medular structure.
In the cerebral and medular tumours a proper conservative
treatment there is not exist. Th e surgical treatment
it is considered proper one. Imaging methods the changes
in the cerebral and medular tissue structures have been
detected, but physiological ones the functional changes of
the cerebral tissue. Th e second one gives the intraoperative
monitoring advantage. Th e intraoperative neurophysiological
monitoring purpose consists of the postoperative neurologic
defi cit risk decrease.
Th e purposed intraoperative monitoring is actual in our
days and it requires a deep study with medical practice using.
Резюме
Хирургия головного и спинного мозга является
сложным процессом в лечении нейрохирургической
патологии, при котором могут быть повреждены головной
или спинной мозг во время операции.
В настоящее время единственным способом лечения
опухоли головного и спинного мозга является хирургический
метод. Существующие методы обследования показывает
нарушения в структуре головного и спинного
мозга, а электрофизиологические методы – функциональные
нарушения. Bнутриоперационный мониторинг
позволяет во время операции судить о функциональных
изменениях мозговых структур и предотвратить постоперационные
неврологические нарушения.
Данный метод лечения актуален и, вместе с тем,
он нуждается в детальном изучении и внедрении в медицинскую
практику.