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[脊髓诱发电位在腰椎间盘突出症手术治疗中的预后价值]

[Prognostic value of evoked potentials of the spinal cord in surgical treatment of lumbar intervertebral disk prolapse].

作者信息

Dziduszko J, Zarski S, Horsztyński D, Piróg A

机构信息

Kliniki Neurochirurgii ICMDiK PAN, Warszawie.

出版信息

Neurol Neurochir Pol. 1992;Suppl 1:178-84.

PMID:1407295
Abstract

Spinal potentials were evoked stimulating the peripheral nerves of lower extremities in healthy people and in patients with manifestations of lumbar disc prolapse. The patients were studied before and early after the operation. In healthy subjects the velocity of impulse conduction was nearly identical when both extremities were compared. In the patients the test before the operation revealed a significant prolongation of the latency of the potentials on the side of the damaged nerve root. After the operation a significant difference between the healthy and the affected side was still present early after the operation but it was significantly smaller than before the operation since the conduction velocity was improved on the side of the operation. The study of spinal evoked potentials makes possible recognition of disturbed function of nerve roots, and after the operation the rate of changes of potential latency is an important prognostic sign.

摘要

在健康人和有腰椎间盘突出症表现的患者中,通过刺激下肢周围神经诱发脊髓电位。在手术前和术后早期对患者进行了研究。在健康受试者中,比较双侧肢体时,冲动传导速度几乎相同。在患者中,术前检查显示受损神经根一侧电位的潜伏期显著延长。手术后早期,健康侧和患侧之间仍存在显著差异,但比手术前显著减小,因为手术侧的传导速度有所改善。脊髓诱发电位的研究使得识别神经根功能障碍成为可能,并且手术后电位潜伏期的变化率是一个重要的预后指标。

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