《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (12): 1152-1154.

• 论文 • 上一篇    下一篇

颈椎后纵韧带骨化症术中体感诱发电位变化与术后近期疗效的关系

赵伟光1a,2，李晓蕾1b，刘振武1a，刘利1a，林欣2   

  1. 1.河北省邯郸市中心医院，a：骨科；b：神经内科，河北邯郸市 056001；2.首都医科大学附属北京天坛医院，北京市 100050。
  • 收稿日期:2011-08-09 修回日期:2011-09-25 出版日期:2011-12-25 发布日期:2011-12-25
  • 通讯作者: 刘利

Relationship Between Somatosensory Evoked Potential Diversification during Operation and Short Term Outcome of Ossification of Posterior Longitudinal Ligament of Cervical Spine

ZHAO Wei-guang, LI Xiao-lei, LIU Zhen-wu, et al.   

  1. Department of Orthopaedics,Handan Central Hospital, Handan 056001, Hebei, China
  • Received:2011-08-09 Revised:2011-09-25 Published:2011-12-25 Online:2011-12-25

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摘要： 目的探讨颈椎后纵韧带骨化症(OPLL)患者术中体感诱发电位(SEP)变化在预测近期手术效果中的价值。方法2008年2月～2011年2月，本院收治颈前路手术微创治疗的OPLL患者70例，监测术中SEP变化，根据术中SEP变化将患者分为SEP无变化组及SEP明显改善组。比较两组患者的术前、术后JOA评分。结果术中SEP无明显变化者35例，SEP明显改善者30例。两组术前JOA评分无显著性差异(P>0.05)，术后SEP改善组高于SEP无变化组(P<0.05)。结论OPLL患者术中SEP的变化与术后近期疗效有一定的关系。

关键词: 颈椎, 后纵韧带骨化症, 体感诱发电位, 日本骨科协会评估治疗分数

Abstract: Objective To explore the relationship between the somatosensory evoked potential (SEP) diversification during operation and the short term outcome of ossification of posterior longitudinal ligament (OPLL) of cervical spine. Methods 70 OPLL inpatients from February 2008 to February 2011were included in this study. All patients received anterior cervical operation. According to the diversification of the SEP during surgery, the patients were divided into 2 groups. The preoperative and postoperative JOA scores of the OPLL patients were collected. Results There were 35 patients in the SEP no change group and 30 in SEP improved group. There was no difference in the preoperative JOA scores between them (P>0.05), but was significantly different in the postoperative JOA scores (P>0.05). Conclusion There is some relationship between the SEP diversification during operation and the short term outcome of OPLL of cervical spine.

Key words: cervical spine, ossification of the posterior longitudinal ligament, somatosensory evoked potential, Japanese Orthopaedic Association Scores