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神经管闭合不全的手术疗效探讨 被引量:4

A study of the surgical efficacy in spinal dysraphism
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摘要 对手术治疗的40例神经管闭合不全患者的神经功能状态做临床评价及胫后神经皮层体感诱发电位(CSEP)测量,发现手术前后神经缺陷的临床评分有显著差异(P<0.002)。行胫后神经CSEP检查的20例患者,16例手术后双下肢胫后神经CSEPP40峰潜伏期明显缩短(P<0.0005);另4例手术前5根胫后神经CSEP波形消失而术后恢复(P<0.01)。说明手术是一有效的治疗方法,不仅可阻止神经缺陷的发展,而且使神经缺陷得到改善。 operated patients with spinal dysraphism were study by evaluating clinical neural function and measuring cortical somatosensory evoked potientials (CSEP) .The chinical scores had significant difference between pre-and postoperative assessments (P<O. 0 02).Cortical somatosensory evoked potentials of posterior tibial nerve were performed in 20 patients. The P_(40)peak latencies in 16 patients improved significantly after the operation(P<0. 0005). The absence CSEP wave of 5 posterior tibial nerve effective means of choice ,not only to prevent the progress of neural deficits ,but also to improve them.)
出处 《中国脊柱脊髓杂志》 CSCD 1994年第3期97-99,共3页 Chinese Journal of Spine and Spinal Cord
关键词 神经管 闭合不全 CSEP 外科手术 Spinal dysraphism Cortical somatosensory evoked potenital(CSEP) Surgical treatment
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参考文献1

  • 1潘映辐主编..临床诱发电位学 第2版[M].北京:人民卫生出版社,1988:752.

同被引文献13

  • 1袁正伟,王维林,谭广亨.先天性肛门直肠畸形支配盆底肌的脊髓神经元定量研究[J].中华医学杂志,2003,83(14):1266-1269. 被引量:8
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  • 9Goldstein LA,Sengelaub DR. Timing and duration of dihydrotestosterone treatment affect the development of motoneuron number and morphology in a sexually dimorphic rat spinal nucleus. J Comp. Neur,1992,326:147-157. 被引量:1
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