西安交通大学学报（医学版）Issue(2)：178-182,5.DOI:10.7652/jdyxb201602006
神经电生理监测在腰骶部椎管内肿瘤显微切除术中的应用
Application of intraoperative nerve electrophysiological monitoring inlumbosacral spinal cord tumor resection
廉海平 1李志锦 1何百祥 1刘小芳 1鲍刚 1王伟 1廉民学 1李传坤1
作者信息
- 1. 西安交通大学第一附属医院神经外科，陕西西安 710061
- 折叠
摘要
Abstract
Objective To study intraoperative neural electrophysiological monitoring applied in lumbosacral spinal cord tumor resection.Methods We retrospectively reviewed the clinical data of 212 patients undergoing lumbosacral spinal cord tumor resection with or without intraoperative neural electrophysiological monitoring in our hospital.The patients were divided into two groups:124 patients in the monitored group received intraoperative neural electrophysiological monitoring while 88 ones in the control group did not.The monitoring was performed by recording the cortical somatosensory evoked potential (CSEP),dermatomal somatosensory evoked potential (DSEP) and electromyography (EMG).The patients were followed up for 3-6 months and their postoperative outcome was analyzed.Results There were significant differences in the outcome (P <0.05),but no difference was found in the incidence of complications between the monitored group and the control group.The sensitivity of CSEP +DSEP+EMG was 100%,and the specificity was 55.9% in the former group.Conclusion Combined monitoring with CSEP,DSEP and EMG during lumbosacral spinal cord tumor resection is valuable in protecting the spinal nerve roots and ensuring better operation safety.关键词
神经电生理监测/腰骶部/椎管内肿瘤/皮节体感诱发电位/肌电图/JOA评分Key words
neural electrophysiological monitoring/lumbosacral region/spinal cord tumor/dermatomal soma-tosensory evoked potential/electromyography/JOA score分类
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廉海平,李志锦,何百祥,刘小芳,鲍刚,王伟,廉民学,李传坤..神经电生理监测在腰骶部椎管内肿瘤显微切除术中的应用[J].西安交通大学学报（医学版）,2016,(2):178-182,5.
