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术中联合监测技术在椎管内肿瘤切除术中的应用
引用本文:李群喜,赵晓晶,李建珉,朱军,付爱军,张云鹤,陈通,成杰.术中联合监测技术在椎管内肿瘤切除术中的应用[J].中国煤炭工业医学杂志,2014(10):1629-1631.
作者姓名:李群喜  赵晓晶  李建珉  朱军  付爱军  张云鹤  陈通  成杰
作者单位:河北联合大学附属医院,河北省唐山市
基金项目:唐山市科技局指令性课题(编号:12140209A-41)
摘    要:目的评价应用神经电生理术中监测技术对预防椎管内肿瘤切除术中脊髓神经功能损伤的意义。方法对56例椎管内肿瘤患者行手术切除治疗,术中应用三种神经电生理技术全程监测。结果经过术中联合监测患者术后3个月随访神经功能改善30例,无变化24例,下降2例。结论椎管内肿瘤切除术中使用联合监测能及时反映出神经功能的变化,术中电生理变化指标变化与切后患者神经功能改变一致。联合监测提高了术中操作的安全性,能避免或减少并发症。

关 键 词:神经电生理  术中联合监测  椎管内肿瘤

APPLICATION OF INTRAOPERATIVE JOINT MONITORING TECHNOLOGY IN THE CANAL TUMOR RESECTION
Institution:Li Qunxi , Zhao Xiaojing , Li Jianmin , et al. (Hebei United University Affiliated Hospital, Tangshan 063000, China.)
Abstract:Objective To evaluate the neural electrophysiological intraoperative neural electrophysiological technology joint monitoring to prevent vertebra tube tumor resection in the meaning of the function of spinal cord injury.Methods Totally 56 cases of vertebra tube tumor,surgical resection in patients with intraoperative application of three kinds of neural electrophysiological monitoring.Results After follow-up of 3months postoperatively in patients with intraoperative joint monitoring neural function improved in 30 cases,24 cases there was no change,turn down in2 cases.Conclusion Using joint monitoring of canal tumor resection can reflect the variation of neural function in time,CLP physiological index changes in patients after operation and the neural function change.Operation joints monitoring can improve the safety of intraoperative operation,and avoid or reduce the complications.
Keywords:Neural electrophysiology  Intraoperative joint monitoring  Vertebra canal tumors
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