摘要
１９８０年～１９９２年９月对１２７例急、慢性脊髓损伤行皮层体感诱发电位（ＣＳＥＰ）检查。急性脊髓损伤７７例，全瘫３９例，不全瘫３８例，伤后２周内做减压复位及内固定。术后１～１２个月作ＣＳＥＰ检查与术前对比，３９例全瘫中的２６例ＣＳＥＰ完全消失，瘫痪也无恢复；１３例术前有严重异常的ＣＳＥＰ，７例ＣＳＥＰ及部分皮肤感觉有恢复，余６例无变化。３８例不全瘫，术前有异常的ＣＳＥＰ，术后瘫痪及ＣＳＥＰ都有不同程度恢复。慢性脊髓损伤５０例，术前ＣＳＥＰ均有异常改变，治疗后除２例颈椎病的症状及ＣＳＥＰ无变化外，其余病例都有不同程度的恢复。作者还分析了在急、慢性脊髓损伤者检测ＣＳＥＰ中一些不可靠的原因及影响因素。
CSEP examination was done in 127 cases of spinal cord injury since 1980. There were 77 cases suffered from acute spinal cord injury, complicate with complete paralysis in 39 and incomplete paralysis in 38. Among which there was no any restoration in the 26 of 39 cases showing absence of CSEP, while in the 13 showing obvious abnormal CSEP, there was improvement in CSEP and clinic in 7 and no change in 6. In the 38 cases with partial paralysis, various improvement occured in CSEP and clinic. There was improvement in CSEP and paralysis in the 50 cases with chronic spinal cord injury, except the 2 cases of cervical spondylosis. Some unreliadle causes of CSEP examination and factors influencing of CSEP were also discussed.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
1993年第3期114-117,共4页
Chinese Journal of Spine and Spinal Cord
关键词
脊髓损伤
体感诱发电位
皮层
Spinal cord injury
Cortical somatosensory evoked potential(CSEP)
