神经肌电图监测在选择性脊神经后根切除术中的应用  

作　　者：陈兰[1] 赵新[1] 

机构地区：[1]成都市第三人民医院神经内科,四川610031

出　　处：《脑与神经疾病杂志》2008年第1期45-46,共2页Journal of Brain and Nervous Diseases

摘　　要：目的:探讨神经肌电图监测在选择性脊神经后根切除术(SPR)中的应用价值。方法:对5例行SPR患者进行术中电刺激阈值及行为反应观察,对阈值较低、有反应扩散现象的神经小束予以切除。结果:5例行SPR患者,术后4例痉挛性脑性瘫痪患儿术后肌张力明显下降,痉挛获得不同程度解除,1例颈脊髓外伤后痉挛性瘫痪患者肌张力下降,痉挛减轻。5例均无感觉功能障碍、肌张力过低等并发症。结论:根据神经肌电图监测方法来施行SPR简单、可靠。它对如何确定选切比例与范围、最小化手术并发症、最大化肢体痉挛缓解起到重要作用。Objective： To discuss the application valuv of nerve EMG monitor in SPR. Methods：To observe the electrical threshold of excitation and behavior reaction of 5 cases during the SPR resect the nerve fasciculus of lower threshold and reacted spreading phenomenon. Results：In 5 SPR patients, 4 cases muscle tone reducpd obvionsly after the SPR. The spasm relieved in certam degree. 1 case muscle tone with neck spinal cord injured got lower, the spasm got ease. All 5 cases had no such as sensorial disfunction and muscle reducing complications and so on. Conclusion： To operate SPR is simple and available clue to the nerve EMG monitor. It plays an impartant role in how to choose the sample proportion and range . minimize the eperation complications and maximize the body spasm release.

关 键 词：脑瘫 痉挛性 选择性脊神经后根切除术 神经肌电图 

分 类 号：R742.3[医药卫生—神经病学与精神病学] R651.3[医药卫生—临床医学]