神经电生理监测在椎管良性病变手术中的应用分析  

Analysis of neuro-electro-physiological monitoring applation in operation of benign intraspinal lesions

作　　者：王举波[1] 权瑜[1] 吕健[1] 巩守平[1] WANG Ju-bo;QUAN Yu;LV Jian;GONG Shou-ping(Department of Neurosurgery,Second Affiliated Hospital of Xi'an Jiao-tong University,Xi'an 710004,Shaanxi,China)

机构地区：[1]西安交通大学第二附属医院神经外科

出　　处：《川北医学院学报》2019年第4期362-365,共4页Journal of North Sichuan Medical College

基　　金：陕西省重点研发一般项目(2017SF-261);西安交通大学基本科研业务自由探索项目(xjj2018136)

摘　　要：目的:探讨神经电生理监测在椎管内良性病变外科手术中的应用。方法: 52例椎管内良性病变患者分为监测组( n=30)和对照组(n =22)。监测组术中采用体感诱发电位(SEP)和运动诱发电位(MEP)实施监测,对照组则不作监测。比较监测组与对照组术后神经功能、总体疗效。结果:术后监测组患者运动、感觉功能恢复程度及总体疗效优于对照组(P<0.05),病变切除率优于对照组(P <0.05);术后长期随访,监测组的日本矫形科学学会(JOA)评分优于非监测组(P <0.05);监测组患者在神经电生理监测预警范围内,无神经功能严重受损,监测安全可信。结论:术中神经电生理监测可减少椎管内病变患者手术并发症,提高患者神经功能。Objective: To explore the application of neuro-electro-physiological monitoring in surgical operation of benign intraspinal lesions. Methods: 52 patients with benign intraspinal lesions were divided into monitoring group (n =30) and control group (n =22).The somatosensory evoked potential (SEP) and motor evoked potential (MEP) were monitored in the monitoring group,the control group was not monitored.The neurological function and overall efficacy of the monitoring group and the control group were compared. Results: The recovery of motor and sensory function and the overall effect of the monitoring group were better than those of the control group (P <0.05),the resection rate of lesions was better than that of the control group (P <0.05).The JOA score of long-term follow-up after operation was better than that of the control group (P <0.05).The monitoring group had no serious impairment of nerve function in the early warning range,and the monitoring was safe and reliable. Conclusion: Intraoperative neuroelectrophysiological monitoring can reduce the complications caused by surgery for intraspinal lesions and improve the neurological function.

关 键 词：椎管内病变 体感诱发电位 运动诱发电位 神经电生理监测 

分 类 号：R681.5[医药卫生—骨科学]