国际医药卫生导报2011，Vol.17Issue(13)：1539-1542,4.DOI:10.3760/cma.j.issn.1007-1245.2011.13.002
体感诱发电位与运动诱发电位在颈椎病术中的联合应用
Spinal somatosensory evoked potential combined with motor evoked potential in monitoring patients undergoing surgery for cervical spondylosis
摘要
Abstract
Objective To explore the value of cortical somatosensory evoked potential(CSEP)combined with myogenic motor evoked potential(MMEP)in monitoring patients undergoing surgery for cervical spndylosis. Methods CSEP and MMEP were simultaneously performed on 35 patients with spinal type cervical spndylosis during spinal surgery. The accuracy of CSEP and MMEP were assessed according to the signal recording at different stages combined with postoperative spinal cord function. ResultsThe success rate was 100% for CSEP and 85.7% for MMEP recording. CSEP reached the warning standards in one patient intraoperatively, warning the surgeons to discontinue the procedure temporarily until the influencing factors were eliminated and the amplitudes of CSEP returned gradually. The wave tape of MMEP disappeared in 2 patients transitorily. The amplitudes of CSEP increased in 28 patients after decompression; CSEP and MMEP had little change in 3 patients. No nerve injury symptoms were worsened in all the patients postoperatively. Conslusions During cervical spinal surgery, CSEP and MMEP can reflect the physiological and pathological conditions of the spinal cord after the interfering factors are excluded. The combined application of CSEP and MMEP improve the monitoring effect and guarantee patient safety.关键词
体感诱发电位/运动诱发电位/颈椎病/脊髓监护Key words
Somatosensory evoked potential/Motor evoked potential/Cervical spndylosis/Spinal cord monitoring引用本文复制引用
陈艺,林志雄,黎文,白波,卢伟杰,刘琦,张姝江,张兴洁..体感诱发电位与运动诱发电位在颈椎病术中的联合应用[J].国际医药卫生导报,2011,17(13):1539-1542,4.基金项目
广东省医学科学技术研究基金资助(A2008265)出现MMEP短暂消失 （A2008265）
28例减压后即CSEP波幅上升 （）
3例术前、术中、术终几乎无变化.以上病人术后均无神经症状加重.结论颈椎病患者术中联合运用CSEP和MMEP监测,排除各种干扰因素后,能准确地反映脊髓生理和病理状况,提高监护效果,保障患者安 （）
