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神经电生理监测技术在脊柱手术中的应用

徐芳 方宝辉 罗若秋 刘水香 欧阳桂兰 周朵燕 钟丽芬 吴平辉

赣南医科大学学报2025,Vol.45Issue(9):864-866,891,4.
赣南医科大学学报2025,Vol.45Issue(9):864-866,891,4.DOI:10.3969/j.issn.1001-5779.2025.09.008

神经电生理监测技术在脊柱手术中的应用

Application of neuroelectrophysiological monitoring technology in spinal surgery

徐芳 1方宝辉 1罗若秋 1刘水香 1欧阳桂兰 1周朵燕 1钟丽芬 1吴平辉2

作者信息

  • 1. 赣南医科大学第一附属医院脑电图、肌电图室
  • 2. 赣南医科大学第一附属医院,江西 赣州 341000
  • 折叠

摘要

Abstract

Objective:To explore the application value of neurophysiological monitoring in reducing intraoperative neurological injuries during spinal surgery.Methods:A retrospective analysis was conducted on 305 spinal surgeries performed at the First Affiliated Hospital of Gannan Medical University from June 2021 to June 2024,where the Nihon Kohden MEE-1200C neurofunctional tester was used to monitor somatosensory evoked potentials(SEP),motor evoked potentials(MEP)amplitude changes,and abnormal nerve conduction velocities.Results:Among 305 patients who underwent spinal surgery,62 were identified as positive early warnings,with a positive early warning rate of 20.3%.Among them,the positive early warning rates for cervical spine,thoracic spine,and lumbar spine surgeries were 25.0%,12.0%,and 18.9%respectively.Conclusion:Neurophysiological monitoring during spinal surgery can promptly detect abnormal nerve conduction velocities,effectively alerting surgeons to prevent neurological injuries and minimizing damage to the nervous system.

关键词

脊柱手术/电生理学/监测

Key words

Spinal surgery/Electrophysiology/Monitoring

分类

基础医学

引用本文复制引用

徐芳,方宝辉,罗若秋,刘水香,欧阳桂兰,周朵燕,钟丽芬,吴平辉..神经电生理监测技术在脊柱手术中的应用[J].赣南医科大学学报,2025,45(9):864-866,891,4.

赣南医科大学学报

1001-5779

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