同时应用皮层及皮层下诱发电位监测脊柱矫形手术的观察

The observation of spine corrective operation monitored by simultaneous CSEP and Sub CSEP

目的 寻求一种新的监护方法,以提高脊柱矫形手术监测效果。方法 对95例脊柱矫形手术同时进行皮层诱发电位(Cortical somalosensory evoked potential,CSEP)及皮层下诱发电位(Sub cortica somatosensory evoked potential,Sub CSEP)监测。结果 皮层诱发电位受麻药的影响较大,皮层下诱发电位受麻药的影响较小。结论 两者同时监测,可以早期预告脊髓损伤,这对脊柱矫形手术术中监测是较为理想的方法。

Objective To explore a better monitoring methods to improve the effect of spine corrective operation monitoring.Method 95 cases undenvent spine corrective operation monitored by CSEP and Sub CSEP at the same time. Result CSEP were more effective by anesthetic drugs than Sub CSEP. Conclusions Spine corrective operation monitored early spinal cord injuries by CSEP and Sub CSEP simultaneously is a better monitoring method.