人类退行性脊柱疾病与皮节体感诱发电位之间的临床相关性
Clinical correlation between degenerative spine disease and dermatomal somatosensory-evoked potentials in humans.
作者信息
Owen J H, Padberg A M, Spahr-Holland L, Bridwell K H, Keppler L, Steffee A D
机构信息
Division of Orthopedic Surgery, Washington University School of Medicine, St. Louis, Missouri.
出版信息
Spine (Phila Pa 1976). 1991 Jun;16(6 Suppl):S201-5. doi: 10.1097/00007632-199106001-00005.
The relationship between clinical status and preoperative and intraoperative dermatomal somatosensory-evoked potentials was investigated as a function of test site. Results indicated that the specificity and sensitivity of dermatomal somatosensory-evoked potentials varied with level of involvement: L5 demonstrated greatest agreement with equal correlation at L3, L4, and S1. Variables that influenced correlation included history of previous surgeries, type of anesthetic used, interpretation criteria, and whether the patient was awake or asleep. It was concluded that dermatomal somatosensory-evoked potentials can provide the surgeon with diagnostic and intraoperative information regarding the functional integrity of single nerve root function.
作为测试部位的函数，研究了临床状态与术前和术中皮节体感诱发电位之间的关系。结果表明，皮节体感诱发电位的特异性和敏感性随受累水平而异：L5在L3、L4和S1处显示出最大的一致性且相关性相同。影响相关性的变量包括既往手术史、所用麻醉类型、解释标准以及患者是清醒还是 asleep。得出的结论是，皮节体感诱发电位可以为外科医生提供有关单神经根功能功能完整性的诊断和术中信息。 注：此处“asleep”未翻译，原文可能有误，推测应为“asleep or awake”（清醒或睡着），完整准确译文：作为测试部位的函数，研究了临床状态与术前和术中皮节体感诱发电位之间的关系。结果表明，皮节体感诱发电位的特异性和敏感性随受累水平而异：L5在L3、L4和S1处显示出最大的一致性且相关性相同。影响相关性的变量包括既往手术史、所用麻醉类型、解释标准以及患者是清醒还是睡着。得出的结论是，皮节体感诱发电位可以为外科医生提供有关单神经根功能功能完整性的诊断和术中信息。
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