无创脊髓监测在脊柱手术和介入血管造影中的价值。

Clinical and experimental neurology Pub Date : 1991-01-01
J W Dunne, C M Field
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引用次数: 0

摘要

该研究描述了51例年龄在10至57岁之间的患者,他们接受了脊柱手术(47)或介入血管造影(4)。采用多通道体感诱发电位(SEP)监测来测量脊髓的功能完整性。交替单侧胫骨sep允许检测侧化和轻度异常。记录位点的组合提高了检测脊髓功能障碍的确定性。监测手术部位下方上升的周围神经截击确保了足够的刺激。在手术水平之上,手术视野之外的记录是最简单的,不需要外科医生的直接协助。在所有手术病例中,脊髓和皮层下反应的快速可靠记录是可能的。尽管皮质sep不能作为唯一的监测手段,但使用不同的电极衍生品可以提高其重现性。结论:无创脊髓SEP监测方法是一种安全、可靠、易于操作的替代方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The value of non-invasive spinal cord monitoring during spinal surgery and interventional angiography.

The study describes 51 patients, aged 10 to 57 years, who underwent spinal surgery (47) or interventional angiography (4). Multi-channel somatosensory evoked potential (SEP) monitoring was used to measure the functional integrity of the spinal cord. Alternating unilateral tibial SEPs permitted the detection of lateralised and milder abnormality. A combination of recording sites enhanced the certainty of detecting spinal cord dysfunction. Monitoring the ascending peripheral nerve volley below the operative site ensured adequate stimulation. Above the level of surgery, recordings outside the operative field were the simplest to make and did not require the direct assistance of the surgeon. Rapid and reliable recording of spinal cord and subcortical responses was possible in all surgical cases. Even though cortical SEPs could not be relied on as the sole monitor, their reproducibility was improved with the use of different electrode derivations. It is concluded that non-invasive methods of spinal SEP monitoring are a safe, reliable and easily performed alternative to more invasive methods.

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