CAJ | 학술논문

目的探讨术中神经电生理监测在儿童脊髓栓系综合征(TCS)显微外科手术中保护神经功能的应用价值. 方法回顾性分析北京天坛医院神经外科一病区自2007年1月至2010年12月行电生理监测下显微外科手术治疗的11例儿童TCS患者的临床资料、神经电生理监测结果和随访预后,分析并探讨神经电生理监测在儿童TCS手术中的保护作用. 结果术后第1天:好转8例,稳定1例,加重2例.出院时:好转10例,加重1例.随访时间1.5～5.5年,好转10例,稳定1例. 结论术中神经电生理监测可以保护脊髓功能,防止神经功能的损伤,提高手术的安全性和改善患儿的生活质量.
목적 탐토술중신경전생리감측재인동척수전계종합정(TCS)현미외과수술중보호신경공능적응용개치. 방법 회고성분석북경천단의원신경외과일병구자2007년1월지2010년12월행전생리감측하현미외과수술치료적11례인동TCS환자적림상자료、신경전생리감측결과화수방예후,분석병탐토신경전생리감측재인동TCS수술중적보호작용. 결과 술후제1천:호전8례,은정1례,가중2례.출원시:호전10례,가중1례.수방시간1.5～5.5년,호전10례,은정1례. 결론 술중신경전생리감측가이보호척수공능,방지신경공능적손상,제고수술적안전성화개선환인적생활질량.
Objective To study the value of intraoperative neurophysiological monitoring (IONM) in microsurgical detethering of patients diagnosed as having tethered cord syndrome (TCS).Methods A retrospective analysis of the clinical data,IONM results and prognosis of 11 patients with TCS,admitted to our hospital from January 2007 to December 2010,was performed to explore the protective role of IONM in microsurgical detethering of TCS.Results IONM responses could be obtained in all patients.Postoperative deterioration of symptoms was found in two patients one day after surgery.At discharge,10 patients got improvement with only one having deterioration of symptoms.Follow-up was performed for 1.5-5.5 years; long-term deterioration of symptoms was found in only one patients.Conclusion IONM can protect the spinal cord function,prevent neurological damage,improve the safty and improve life quality of the patients.