运动诱发电位及在神经外科手术监测中的应用  

Motion Evoked Potentiasl(MEP) and its Application During the Monitoring of Neurosurgery

作　　者：翁名相[1] 康德智[2] 

机构地区：[1]福建医科大学第一临床医学院神经外科,福州350005 [2]福建医科大学附属第一医院神经外科,福州350005

出　　处：《医学综述》2008年第13期2017-2020,共4页Medical Recapitulate

摘　　要：由于体感诱发电位(SSEPs)只能反映脊髓背侧柱的信息,当手术中在运动传导通路上出现损伤时,单纯的SSEPs无法反映出来,监测运动通路的技术就在这个需要下孕育而生了。经颅电刺激运动诱发电位(TES-MEPs)被认为是在术中监测皮质脊髓运动通路有效而实用的方法。实践证明,SSEPs和运动诱发电位的联合运用可以大大降低手术造成的损伤。现主要就运动诱发电位中TES-MEPs的原理、方法、麻醉的影响、警报标准、安全问题予以个综述。Because sematosensory evoked potentials（SSEPs） can only reflect the information of dorsal columns of the spinal cord, the single SSEP monitoring may fail to detect damage to the motor pathways occured in the surgery. Thus ,techniques directly monitoring the motor pathways have been developed. Transcranial electric stimulation（TES-MEPs） is considered to to be the effective and pragmatic method monitoring motor pathway of spinal cord during operation. Combiend application of SSEPs and motor evoked potential can obviously reduce the injury caused by surgery. This article reviews TES-MEPs about its principle, methods, anaesthetic influence, alarming standard and safty during motor evoked potential.

关 键 词：体感诱发电位 运动诱发电位 经颅电刺激运动诱发电位 术中监测 

分 类 号：R651.11[医药卫生—外科学]