[1]许福光,蓝志明,赖居易,等.多种模式神经电生理监测在胸椎管狭窄症术中的应用[J].中国中医骨伤科杂志,2018,26(10):54.
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多种模式神经电生理监测在胸椎管狭窄症术中的应用()
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第26卷
期数:
2018年10期
页码:
54
栏目:
临床报道
出版日期:
2018-10-10

文章信息/Info

文章编号:
1005-0205(2018)10-0054-03
作者:
许福光1蓝志明1赖居易2王业广2孙志涛2王建2△冯华龙1蒋勇1洪强1
1广州中医药大学第四临床医学院(广东 深圳,518000) 2深圳市中医院
关键词:
胸椎管狭窄症 神经电生理监测 运动诱发电位 体感诱发电位
分类号:
R681.5
文献标志码:
B
摘要:
目的:探讨多种模式神经电生理监测(IONM)在胸椎管狭窄症(TSS)术中的应用价值。方法:从2015年3月至2017年9月共收治26例胸椎管狭窄症患者,术中均采用全身静脉麻醉,所有胸椎管狭窄症患者行胸椎后路全椎板切除减压椎弓根内固定术。术中监测选用加拿大的Xltex32导术中电生理监护仪进行监测,胸椎管狭窄症患者进行多种模式的体感觉诱发电位(SSEP)及运动诱发电位(MEP)监测。结果:术中2例SSEP波幅监测出现异常; 其中1例为胸椎管减压术中出血,放置止血棉过多,导致脊髓受压而出现SSEP波形异常,及时去除止血棉后恢复正常; 1例由收缩压下降导致SSEP波形出现异常,由收缩压升高纠正。4例MEP监测波幅出现异常,2例因术中电极脱落引起,2例因术中吸入肌松剂干扰引起。结论:在胸椎管狭窄症术中进行多种模式神经电生理监测,可实时了解脊髓和神经功能状态,明显降低术中损伤脊髓、神经的发生率,有效提高手术的安全性。

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备注/Memo

备注/Memo:
基金项目:深圳市科技计划项目资助(JCYJ20170307155040463)
通信作者 E-mail:86208117@qq.com
更新日期/Last Update: 2018-10-10