局解手术学杂志2025，Vol.34Issue(11)：960-964,5.DOI:10.11659/jjssx.02E025043
超声引导下置针辅助运动诱发电位和肌电图监测在脊髓手术中的应用
Application of ultrasound-guided needling assisted the motor evoked potentials and electromyography monitoring in spinal surgery
摘要
Abstract
Objective To explore the effect and predictive value of ultrasound-guided needling assisted motor evoked potentials(MEP)and electromyography(EMG)monitoring on neurological recovery in spinal surgery.Methods A retrospective analysis was conducted on the clinical data of 80 patients who underwent spinal surgery at Jiangsu Province Hospital of Chinese Medicine from January 2020 to December 2024.A total of 41 patients in the observation group received ultrasound-guided needling assisted MEP and EMG monitoring,and 39 patients in the control group received conventional method for MEP and EMG monitoring.The operative time,intraoperative blood loss,and the proportions of intraoperative MEP and EMG warnings were compared between the two groups,and the sensitivity and specificity of intraoperative MEP monitoring were compared between the two groups.The receiver operating characteristic(ROC)curve was plotted,and the area under the curve(AUC)was calculated to analyze the efficiency of MEP warning in predicting the dysfunction of postoperative spinal cord.Results There were no significant differences in the operative time,intraoperative blood loss,or the proportions of intraoperative MEP and EMG warnings(P>0.05).The sensitivity,specificity and AUC of intraoperative MEP monitoring in the observation group were significantly higher than those in the control group,with statistically significant differences(P<0.05).The sensitivity,specificity,and AUC of postoperative MEP warning in predicting the dysfunction of spinal cord in the observation group were higher than those in the control group,with statistically significant differences(P<0.05).Conclusion Ultrasound-guided needling assisted MEP and EMG monitoring can effectively enhance the intraoperative neural monitoring accuracy,and postoperative MEP warning demonstrates superior predictive value for postoperative neurological dysfunction.关键词
超声引导/运动诱发电位/肌电图/脊髓手术/功能预测Key words
ultrasound guidance/motor evoked potentials/electromyography/spinal surgery/functional prediction分类
医药卫生引用本文复制引用
胡静,李海林,吴志强,陆嘉诚,袁梓轩,孙玉玺,王慧博..超声引导下置针辅助运动诱发电位和肌电图监测在脊髓手术中的应用[J].局解手术学杂志,2025,34(11):960-964,5.基金项目
国家自然科学基金资助项目(82072783) （82072783）
