诱发电位在脊柱矫形术中的应用及电位变化原因①.doc

中国康复理论与实践 2012 年 10 月第 18 卷第 10 期 Chin J Rehabil Theory Pract, Oct. 2012, Vol. 18, No. 10
DOI: .1006-
诱发电位在脊柱矫形术中的应用及电位变化原因①
颜益红,张长杰,刘汉良

- 941 -
·综述·
[摘要]

诱发电位因能在术中连续、适时地监护脊髓功能,已广泛地应用于脊柱矫形术中。但是,术中诱发电位受术中多种因
素的影响,如何提高术中神经监护的准确性仍是一个需要探索的问题。本文就术中神经监测在脊柱外科矫形术中的应用及术中电
位变化原因进行综述。
[关键词]
诱发电位;脊柱矫形手术;术中神经监测;综述
Application of Evoked Potentials in Spinal Orthopedics and Reasons for Changes (review)

YAN Yi-hong, ZHANG Chang-jie, LIU
Han-liang. Rehabilitation Department, Changsha 3rd Hospital, Changsha 410015, Hunan, China
Abstract: Evoked potentials which can monitor spinal cord function in operation continuously and timely has been widely used in spi-
nal orthopedics. However, intraoperative evoked potentials are affected by the technique in a variety of factors, how to improve the accuracy
of intraoperative monitoring is still a problem to explore. In this paper, intraoperative nerve monitoring application and intraoperative poten-
tial reasons for the changes in the spine surgery orthopedic surgery were reviewed.
Key words: evoked potentials; orthopedic spine surgery; intraoperative nerve monitoring; review
[中图分类号]
 [文献标识码]
A
[文章编号]
1006-9771(2012)10-0941-03
[本文著录格式]
18(10): 941-943.
颜益红,张长杰,刘汉良. 诱发电位在脊柱矫形术中的应用及电位变化原因[J]. 中国康复理论与实践, 2012,
医源性脊髓损伤是脊柱矫形手术中的一种严重并发症。自
1977 年 Nash 等首次将躯体感觉诱发电位(somatosensory evoke