Bersnev V P
Vopr Neirokhir. 1975(2):29-33.
In 129 patients the diagnosis was defined over periods from 1 month to 2 years following the damage of the nerves with the help of myopotentials evoked through stimulation of the nerves with batches (charges) of a built-up current of varying frequency lasting for 1 second. With the lability of the neuro-muscular system falling from 35 down to 10 pulses/sec, a reduced amplitude of periliminal peak potentials, post-tetanic after-potentials and in the absence of pessimal inhibition of up to 1000 pulses/sec the operative treatment is, as a rule, not indicated. Late after injury and with a low amplitude of evoked myopotentials, falling down to 5--26 mug, an amplitude transformation from 2 up to 10 pulses/sec, the absence of periliminal rising peak potentials and post-tetanic after-potentials (spikes) surgery is commonly indicated. The operative intervention is also indicated in the absence of all types of the evoked myopotentials when this is combined with other factors.
在129例患者中,神经损伤后1个月至2年期间,借助于用持续1秒的不同频率的叠加电流的脉冲(电荷)刺激神经所诱发的肌电位来明确诊断。当神经肌肉系统的兴奋性从35次/秒降至10次/秒,阈下峰电位、强直后电位的幅度降低,且在高达1000次/秒时无超限抑制时,通常不建议进行手术治疗。损伤后期且诱发肌电位幅度较低,降至5 - 26微伏,频率从2次/秒增至10次/秒,无阈下上升峰电位和强直后电位(尖峰)时,通常建议手术治疗。当所有类型的诱发肌电位均未出现且伴有其他因素时,也建议进行手术干预。