[1]吴培江,冯毅刚,欧阳文纬.SEP联合MEP监测在颅内动脉瘤夹闭术中的应用研究[J].医学信息,2018,31(02):103-104.[doi:10.3969/j.issn.1006-1959.2018.02.036]
　WU Pei-jiang,FENG Yi-gang,OUYANG Wen-wei.Application of Somatosensory Evoked Potentials Combined with Transcranial Electrical Stimulation of Motor Evoked Potential in Intracranial Aneurysm Clipping[J].Journal of Medical Information,2018,31(02):103-104.[doi:10.3969/j.issn.1006-1959.2018.02.036]
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SEP联合MEP监测在颅内动脉瘤夹闭术中的应用研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年02期
页码:
103-104
栏目:
临床研究
出版日期:
2018-01-15

文章信息/Info

Title:
Application of Somatosensory Evoked Potentials Combined with Transcranial Electrical Stimulation of Motor Evoked Potential in Intracranial Aneurysm Clipping
文章编号:
1006-1959（2018）02-0103-02
作者:
吴培江; 冯毅刚; 欧阳文纬
广东三九脑科医院门诊电生理，广东 广州 510510
Author(s):
WU Pei-jiang; FENG Yi-gang; OUYANG Wen-wei
Outpatient Electrophysiology,Guangdong Sanjiu Brain Hospital,Guangzhou 510510,Guangdong,China
关键词:
颅内动脉瘤; SEP; MEP; 夹闭术
Keywords:
Key words：Intracranial aneurysms; SEP; MEP; Clipping
分类号:
R651.12
DOI:
10.3969/j.issn.1006-1959.2018.02.036
文献标志码:
A
摘要:
目的 分析在接受颅内动脉瘤夹闭术患者中使用体感诱发电位和经颅电刺激运动诱发电位联合监测进行手术监测的效果。方法 回顾分析2014年12月~2015年12月我院收治的90例接受颅内动脉瘤夹闭术的患者作为研究对象，将其分对照组与观察组，各45例，对照组患者不采用电生理监测，观察组患者使用SEP与MEP联合监测，对比两组患者的术后效果及相应指标。结果 术后，观察组患者重度瘫痪率、术后并发症率、再手术率以及住院天数均低于或少于对照组，差异有统计学意义（P＜0.05）。结论 颅内动脉瘤夹闭术患者使用SEP与MEP联合监测对于提高术中指导水平及术后恢复质量均具有积极意义，同时可降低术后缺血性脑卒中发生率，应用价值较高。
Abstract:
Abstract：Objective To analyze the effect of surgical monitoring using somatosensory evoked potentials and transcranial electrical stimulation motor evoked potentials in patients undergoing intracranial aneurysm clipping.Methods From December 2014 to December 2015,90 patients admitted to our hospital with intracranial aneurysm clipping were retrospectively analyzed.The subjects were divided into control group and observation group,with 45 cases in each group.The control group patients were not used electrophysiology monitoring,observation group patients using SEP and MEP joint monitoring, comparing the two groups of patients after surgery and the corresponding indicators.Results After operation,the rate of severe paralysis, postoperative complication rate,reoperation rate and length of hospital stay in the observation group were both lower and lower than those in the control group,he difference was statistically significant(P<0.05).Conclusion The combined monitoring of SEP and MEP in patients with intracranial aneurysm clipping has a positive effect on improving intraoperative guidance and the quality of postoperative recovery.It can also reduce the incidence of postoperative ischemic stroke and has high application value.

参考文献/References:

[1]张施远,曾春,蒋永明,等.复合手术治疗颅内动脉瘤[J].中国微侵袭神经外科杂志,2016,21(03):105-108.
[2]何承彪,马建荣,姜维喜,等.手术与介入治疗颅内动脉瘤的疗效对比[J].中国实用神经疾病杂志,2016,19(03):75-76.
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更新日期/Last Update: 2018-02-15