临床骨科杂志2017，Vol.20Issue(2)：154-156,3.DOI:10.3969/j.issn.1008-0287.2017.02.010
脊髓型颈椎病前路手术中神经电生理监测的应用
Application of intraoperative neurophysiological monitoring in anterior surgery for cervical spondylotic myelopathy
王剑火 1陈勇忠 1温建锋 1龚衍丁 1王娟美1
作者信息
- 1. 南京军区福州总医院476临床部骨科中心,福建 福州 350002
- 折叠
摘要
Abstract
Objective To summarize the experiences of intraoperative neurophysiological monitoring in anterior surgery for cervical spondylotic myelopathy.Methods A retrospective review was performed on 35 patients with spondylotic myelopathy who received intraoperative neurophysiological monitoring.Results The waveforms of somatosensory evoked potential(SEP) and motor evoked potential (MEP) were monitored in all 35 cases.The SEP and MEP alert occurred in 4 cases and 7 cases respectively.The amplitude of SEP increased in 29 cases, unchanged in 5 cases, and decreased in 1 case after decompression.The amplitude of MEP increased in 31 cases, unchanged in 2 cases, and decreased in 2 cases after decompression.The score of JOA was 7.94±1.54 and 12.23±1.51 before and 1 month after operation respectively, which was significant difference(P<0.01).Conclusions The combined application of SEP and MEP intraoperative monitoring can timely monitor the functional integrity of cervical spinal cord,and improve the safety of anterior cervical surgery.关键词
脊髓型颈椎病/颈椎手术/电生理监测/体感诱发电位/运动诱发电位/肌电图Key words
cervical spondylotic myelopathy/cervical spinal surgery/neurophysiological monitoring/somatosensory evoked potential/motor evoked potential/electromyography分类
医药卫生引用本文复制引用
王剑火,陈勇忠,温建锋,龚衍丁,王娟美..脊髓型颈椎病前路手术中神经电生理监测的应用[J].临床骨科杂志,2017,20(2):154-156,3.
