摘要
目的综合分析多模式神经电生理监测在脊柱手术的应用。方法回顾性分析107例脊柱手术病例资料,病人在脊柱手术过程中,均接受多模式(肌电图、体感诱发电位、运动诱发电位)神经电生理监测。结果在107例脊柱手术病人中,监测结果异常率为30.84%(33/107),监测结果正常74例(69.16%,74/107)。手术前后视觉模拟评分法(visual analogue scale,VAS)比较,差异具有统计学意义(P<0.05)。结论在脊柱手术中,应用多模式神经电生理监测,能够降低病人脊髓损伤的风险,可使病人获得较好预后。
Objective To analyze the application of multi-mode neurophysiological monitoring in spinal surgery.Methods Clinical data of 107 patients with spinal surgery were analyzed retrospectively.All spinal surgery patients received multi-mode neuro-electrophysiological monitoring,including electromyography,somatosensory evoked potential,motor evoked potential.Results The abnormal incidence of monitoring was 30.84%(33/107),and the monitoring results was normal in 74(69.16%,74/107).The difference in visual analogue scale(VAS)before and after surgery was statistically significant(P<0.05)in these patients.Conclusions In spinal surgery,multi-mode neuro-electrophysiological monitoring can reduce the risk of spinal cord injury in patients and obtain a better prognosis.
作者
李群喜
赵晓晶
付爱军
李向男
张云鹤
成杰
吕小生
刘刚
Li Qunxi;Zhao Xiaojing;Fu Aijun;Li Xiangnan;Zhang Yunhe;Cheng Jie;Lv Xiaosheng;Liu Gang(Department of Neurosurgery,North China University of Science and Technology Affiliated Hospital,Tangshan,Hebei 063000,China;Department of Neurology,North China University of Science and Technology Affiliated Hospital,Tangshan,Hebei 063000,China;Department of Neurosurgery,LaoTing County Hospital,Tangshan,Hebei 063699,China)
出处
《中国微侵袭神经外科杂志》
CAS
2019年第11期494-496,共3页
Chinese Journal of Minimally Invasive Neurosurgery
基金
河北省医学科学研究课题计划(编号：20190113)
关键词
脊柱
体感诱发电位
运动诱发电位
肌电图
spine
somatosensory evoked potential
motor evoked potential
electromyogram
