| 皮层诱发电位(CSEP)在脊柱手术监护中的应用 |
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| 引用本文： | 刘新宇,潘新,周长青,杨洪玲,汤继文.皮层诱发电位(CSEP)在脊柱手术监护中的应用[J].中国矫形外科杂志,2002,9(1):17-19. |
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| 作者姓名： | 刘新宇 潘新 周长青 杨洪玲 汤继文 |
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| 作者单位： | 山东大学齐鲁医院骨创伤科,山东,济南,250012 |
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| 摘 要： | 目的：通过术中皮层诱发电位监护减少术中脊髓损伤。方法：用体感诱发电位仪对68例脊柱手术行CSEP监护。结果：68例中，56例术中即出现波形改善；11例术中监护及术后波形无改变；仅1例术中监护未见异常，而术后出现不全瘫，16h后恢复。结论：术中皮层诱发电位监护可有效降低脊柱手术后四肢瘫的发生并可预测患者术恢复程度。
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| 关 键 词： | 皮层诱发电位 脊柱手术 CSEP 手术监护 |
| 文章编号： | 1005-8478(2002)01-0017-03 |
| 修稿时间： | 2001年3月10日 |
Cortical Somatosensory Evoked Potentials during Spinal Surgery:A Review of 68 Cases. |
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| LIU Xin yu,PAN Xin,ZHOU Chang qing,et al..Cortical Somatosensory Evoked Potentials during Spinal Surgery:A Review of 68 Cases.[J].The Orthopedic Journal of China,2002,9(1):17-19. |
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| Authors: | LIU Xin yu PAN Xin ZHOU Chang qing |
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| Institution: | LIU Xin yu,PAN Xin,ZHOU Chang qing,et al.The Department of Orthopeadics Trauma,Qilu Hospital,Shandong University,Shandong 250012 |
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| Abstract: | Objective: According to intraoperative monitoring of cortical somatosensory evoked potentials(CSEP),reduce injury of spinal cord.Methods:Sixty eight patients were monitored intraoperatively with cortical somatosensory evoked potentials.Result:fifty six of sixty eight patients demonstraed intraoperative improvement of somatosensory evoked potential signals;11 patients had no change;only one patients with stable recordings had a paralysis postoperatively but recovery 16 hours later.Conclusion:CSEP can be useful in avoiding paralysis postoperatively and predicting favorable postsurgical clinical outcome. |
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| Keywords: | CSEP Intraoperative monitoring |
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