神经电生理监测技术在神经根型颈椎病患者椎间盘切除术中的应用价值分析

Analysis on the Application Value of Neurophysiological Monitoring Technique in Discectomy for Patients with Cervical Spondylotic Radiculopathy

目的探讨神经电生理监测技术在神经根型颈椎病患者椎间盘切除术中的应用价值。方法将70例神经根型颈椎病患者随机分为观察组(在神经电生理监测技术辅助下行椎间盘切除术)与对照组(手术治疗期间不应用神经电生理监测技术)。比较两组手术相关指标、疼痛程度、并发症情况。结果观察组术中出血量低于对照组,术后首次下床活动时间与住院时间短于对照组(P<0.05)。观察组术后3个月VAS评分低于对照组(P<0.05)。观察组并发症发生率为5.71%,低于对照组的22.86%(P<0.05)。结论神经电生理监测技术在神经根型颈椎病患者椎间盘切除术中的应用价值显著,可促进患者术后康复,改善机体疼痛程度,降低手术风险。

Objective To explore the application value of neurophysiological monitoring technique in discectomy for patients with cervical spondylotic radiculopathy.Methods 70 patients with cervical spondylotic radiculopathy were randomly divided into observation group(discectomy assisted with neuroelectrophysiological monitoring technique)and control group(without neuroelectrophysiological monitoring technique during surgery).The surgical related indicators,pain degree and complications were compared between the two groups.Results The intraoperative blood loss of the observation group was lower than that of the control group,and the postoperative first out-of-bed activity time and hospitalization time were shorter than those of the control group(P<0.05).The VAS score at 3 months after surgery of the observation group was lower than that of the control group(P<0.05).The incidence of complications in the observation group was 5.71%,lower than 22.86%in the control group(P<0.05).Conclusions Neurophysiological monitoring technique in discectomy for patients with cervical spondylotic radiculopathy has significant application value,which can promote postoperative recovery,improve body pain degree,and reduce the surgical risk of patients.