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脊髓手术中诱发电位监测的应用与探讨
引用本文:张国君,方绍明,张新卿,邢华芳,马永红,安莲英.脊髓手术中诱发电位监测的应用与探讨[J].首都医学院学报,1999,20(4):275-278.
作者姓名:张国君  方绍明  张新卿  邢华芳  马永红  安莲英
作者单位:保定市第一医院神经外科(张国君),首都医科大学宣武医院神经外科(方绍明),首都医科大学宣武医院神经外科神经内科(张新卿,邢华芳,马永红,安莲英)
摘    要:联合应用运动诱发电位( MEP) 和体感诱发电位(SEP) 技术连续监测的方法对13 例脊髓手术病人进行监测。结果表明,联合应用MEP和SEP 监测,能正确反映手术中脊髓的感觉和运动功能变化;MEP的稳定性高于SEP;SEP 的敏感性较高;术中SEP 逐渐好转提示预后良好。

关 键 词:脊髓  运动诱发电位  体感诱发电位  术中监测  电刺激
收稿时间:1998-04-21
修稿时间:1998-04-21

Application and Exploration of Evoked Potentials Monitoring in Spinal Cord Surgery
Zhang Guojun,Fang Shaoming,Zhang Xinqing,Xing Huafang,Ma Yonghong,An Lianying.Application and Exploration of Evoked Potentials Monitoring in Spinal Cord Surgery[J].Journal of Capital University of Medical Sciences,1999,20(4):275-278.
Authors:Zhang Guojun  Fang Shaoming  Zhang Xinqing  Xing Huafang  Ma Yonghong  An Lianying
Institution:1. Department of Neurosurgery, The First Hospital of Baoding;2. Department of Neurosurgery, Xuan wu Hospital, Affiliate of Capital University of Medical Sciences;3. Department of Neurology, Xuanwu Hospital, Affiliate of Capital Universiyt of Medical Sciences
Abstract:A method of com bined motor and somatosensory evoked potentials was used to continuously monitor in spinal cord surgery and 13 patients were obtained . The result showed that com bined MEPand SEP monitoring could truely indicate the integrity of spinal cord functions , MEPs were more valid than SEPs, but SEPs were more sensitive , the changes of EPs were related to the pathology and anatomy of spinal cord diseases , the gradual improvement of SEPs presaged good prognosis .
Keywords:spinal cord  motor evoked potential  somatosensory evoked potential  intraoperative  monitoring  electrical stimulation
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