摘要
目的:探讨体感诱发电位(SEP)术中监测在脊柱外科的临床应用价值。方法:应用SEP对25例脊柱外科手术进行术中监护(IOM),记录手术前后及重要手术步骤前、中、后的诱发电位变化并分析原因。结果:排除麻醉因素,7例术中波形出现明显改变;其余18例术前、术中监护、术后波形无明显改变。结论:SEP具有简便、灵敏和及时监护的特点,术中监护可有效提高脊柱外科手术的安全性,并可客观评价疗效。
Objective: To discuss the significance of the clinical application of somatosensory evoked potentials (SEP)monitor in the spinal surgery. Methods: Recorded and analysed the changes of preoperative, intraoperative (before, during and after critical procedure)and postoperative evoked potentials of 25 patients by using the SEP. Results: After eliminating the anesthetic factors, 7 subjects had waveform changes during operation; 18 subjects had no significant changes on waveform before, during and after operation. Conclusion: As a simple and instant monitor method, SEP monitor is able to enhance the security of spinal surgery and conduce to evaluating the operation effectiveness objectively.
出处
《天津医科大学学报》
2009年第4期616-618,622,共4页
Journal of Tianjin Medical University
关键词
体感诱发电位
术中监护
脊柱外科
Somatosensory evoked potentials
Intraoperative monitoring
Spinal surgery