术中使用体感诱发电位在颈动脉手术期间进行脑监测。

Intraoperative use of somatosensory evoked potentials for brain monitoring during carotid surgery.

作者信息

Horsch S, Ktenidis K

机构信息

Department of General and Vascular Surgery, Academic Teaching Hospital Cologne-Porz, University of Cologne, Germany.

出版信息

Neurosurg Clin N Am. 1996 Oct;7(4):693-702.

PMID:8905780

Abstract

Somatosensory evoked potentials (SSEP) are a valuable clinical tool in the operating theater. Multichannel SSEP monitoring is an objective measure of CBF and cerebral function. The monitoring of the SSEP during carotid surgery is a simple and reliable method of determining the effect of carotid clamping on CBF and the need for shunting. The diagnosis sensitivity and specificity of intraoperative SSEP monitoring for assessing the neurologic outcome of patients are over 95%. At least 16.1% of cases required shunt placement using SSEP monitoring.

摘要

体感诱发电位（SSEP）是手术室中一种有价值的临床工具。多通道SSEP监测是脑血流量（CBF）和脑功能的客观测量方法。颈动脉手术期间对SSEP的监测是确定颈动脉夹闭对CBF的影响及是否需要分流的一种简单可靠的方法。术中SSEP监测评估患者神经学转归的诊断敏感性和特异性超过95%。至少16.1%的病例需要使用SSEP监测来放置分流管。