神经电生理监测在儿童脊髓栓系综合征手术中的应用  

Intraoperative neurophysiological monitoring during surgery for tethered cord syndrome in pediatrics： a report of 11 cases

作　　者：薛超强[1] 张玉琪[2] 柏建军[2] 杨蕾[1] 姜涛[2] 

机构地区：[1]北京市神经外科研究所,100050 [2]首都医科大学附属北京天坛医院神经外科,100050

出　　处：《中华神经医学杂志》2014年第1期73-75,共3页Chinese Journal of Neuromedicine

摘　　要：目的探讨术中神经电生理监测在儿童脊髓栓系综合征（TCS）显微外科手术中保护神经功能的应用价值。方法回顾性分析北京天坛医院神经外科一病区自2007年1月至2010年12月行电生理监测下显微外科手术治疗的11例儿童TCS患者的临床资料、神经电生理监测结果和随访预后，分析并探讨神经电生理监测在儿童TCS手术中的保护作用。结果术后第1天：好转8例，稳定1例，加重2例。出院时：好转10例，加重1例。随访时间1．5～5．5年，好转10例，稳定1例。结论术中神经电生理监测可以保护脊髓功能，防止神经功能的损伤，提高手术的安全性和改善患儿的生活质量。Objective To study the value of intraoperative neurophysiological monitoring （IONM） in microsurgical detethering of patients diagnosed as having tethered cord syndrome （TCS）. Methods A retrospective analysis of the clinical data, IONM results and prognosis of 11 patients with TCS, admitted to our hospital from January 2007 to December 2010, was performed to explore the protective role of IONM in microsurgical detethering of TCS. Results IONM responses could be obtained in all patients. Postoperative deterioration of symptoms was found in two patients one day alter surgery. At discharge, 10 patients got improvement with only one having deterioration of symptoms. Follow-up was performed for 1.5-5.5 years; long-term deterioration of symptoms was found in only one patients. Conclusion IONM can protect the spinal cord function, prevent neurological damage, improve the salty and improve life quality of the patients.

关 键 词：脊髓栓系综合征 术中电生理监测 儿童 神经外科手术 

分 类 号：R726.5[医药卫生—儿科]