Application of intraoperative nerve electrophysiological monitoring inlumbosacral spinal cord tumor resection
10.7652/jdyxb201602006
- VernacularTitle:神经电生理监测在腰骶部椎管内肿瘤显微切除术中的应用
- Author:
Haiping LIAN
;
Zhijin LI
;
Baixiang HE
;
Xiaofang LIU
;
Gang BAO
;
Wei WANG
;
Minxue LIAN
;
Chuankun LI
- Publication Type:Journal Article
- Keywords:
neural electrophysiological monitoring;
lumbosacral region;
spinal cord tumor;
dermatomal soma-tosensory evoked potential;
electromyography;
JOA score
- From:
Journal of Xi'an Jiaotong University(Medical Sciences)
2016;(2):178-182
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study intraoperative neural electrophysiological monitoring applied in lumbosacral spinal cord tumor resection.Methods We retrospectively reviewed the clinical data of 212 patients undergoing lumbosacral spinal cord tumor resection with or without intraoperative neural electrophysiological monitoring in our hospital.The patients were divided into two groups:124 patients in the monitored group received intraoperative neural electrophysiological monitoring while 88 ones in the control group did not.The monitoring was performed by recording the cortical somatosensory evoked potential (CSEP),dermatomal somatosensory evoked potential (DSEP) and electromyography (EMG).The patients were followed up for 3-6 months and their postoperative outcome was analyzed.Results There were significant differences in the outcome (P <0.05),but no difference was found in the incidence of complications between the monitored group and the control group.The sensitivity of CSEP +DSEP+EMG was 100%,and the specificity was 55.9% in the former group.Conclusion Combined monitoring with CSEP,DSEP and EMG during lumbosacral spinal cord tumor resection is valuable in protecting the spinal nerve roots and ensuring better operation safety.
