SLSEP对31例肋间血管神经转位术治疗截瘫疗效的评估  

SLSEP to Evaluate 31 Cases of Vascularied Intercostal Nerve Transfer in the Treatment of Paraplegia

作　　者：王志伟[1] 张少成[1] 崔义[2] 禹宝庆[1] 

机构地区：[1]第二军医大学长海医院骨科,上海200433 [2]第二军医大学长海医院肌电图室

出　　处：《中国矫形外科杂志》2000年第10期941-943,共3页Orthopedic Journal of China

摘　　要：目的 :探讨陈旧性脊髓损伤截瘫患者潜伏期体感诱发电位 (ShortLatencySomatosensoryEvokedPotential,SLSEP)的变化及其与手术疗效的关系。方法 :对施行肋间血管神经转位手术的 3 1例患者于手术前后进行SLSEP检查 ,分析其变化。结果 :3 1例均得到术后平均 2 .5年以上的随访。患者术前SLSEP检查结果均异常或消失 ,术后SLSEP改善者 12例 ,9例功能恢复良好 (FranckelD级 ) ,另 3例恢复较好 (C级 ) ;术后SLSEP无明显变化者 19例 ,其中 3例恢复较好 (C级 ) ,15例恢复不佳 (B级 ) ,1例无效 (A级 )。但 2 6例患者的排尿功能均恢复或部分恢复。结论 :患者手术前后SLSEP的变化同该手术的临床疗效相关 ,但不能完全反映其排尿功能的恢复程度。Objective: To discuss the SLSEP variation and their correlation to operations of the old paraplegia patients.Method:All 31 cases were treated with vascularied intercostal nerve transfer and had SLSEP examination before and after operation.Their variation were analyzed.Result:31 cases followed up for 1 3 years (average above 2.5 years)postoperatively,before operation all 31 cases′SLSEP were abnormal or vanished.12 cases′SLSEP greatly improved postoperatively.9 cases among these had got Franckel′s classification D and the other 3 cases Franckel′s classification C.19 cases had not got any improvement.3 cases among these had got Franckel′s classification C,15 cases Franckel′s classification B and 1 case failed.But 26 cases had got completely or partly recovery of urination function.Conclusion:This method is effective for the young patients who had no recovery after 0.5 1 year since injury but the continuity of spinal cord was still present confirmed by MRI.The variation of SLSEP before and after operation is relative to its clinic curative effect,but can not fully reflect the recovery of urination function.

关 键 词：肖髓损伤 截瘫 体感诱发电位 肋间血管神经转位 

分 类 号：R681.2[医药卫生—骨科学]