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F波与节段性体感诱发电位在腰椎间盘突出症诊断中的对比分析

Comparative Study of F Wave Segmental Somatosensory Evoked Potential in Diagnosing Lumbar Disc Prolapse

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【作者】 沈宁江王书成卢传新张岚

【Author】 Shen Ningjiang, Wang Shucheng, Lu Chuanxin. Department of Orthopaedics ,The Peopel’s Hospital of Hainan Province .Haikou, 570311

【机构】 海南省人民医院骨病外科北京市神经外科研究所电生理室 570311570311570311

【摘要】 作者对85临床和CT扫描确诊的腰椎间盘突出症患者进行了F波或节段性体感诱发电位(SSEP)检查,诊断结果与手术对比,结果发现,F波检查阳性率69.2%,SSEP阳性率95.1%,CT阳性率96%。SSEP检查完全能替代F波检查,SSEP阳性率之高主要是由于检查方法正确,其次是仪器的灵敏度高,重点观察N1波所得。作者提出SSEP与CT检查各有其独特之处,前者既可判断神经根功能又能定位,后者能直接显示椎间盘的形态改变,两者相互补充,为腰椎间盘突出症的诊断和治疗提供更全面准确的信息。

【Abstract】 The authors carried out examination of F wave or segmental somatosensory evoked Potential (SSEP) for 85 cases who suffered from lumbar disc prolapse. All of the patients were compared with the operation . The positive rates of F wave .SSEP and CT were 69-2% ,95.1% ,96%respectively. The ex-amintion of F wave could be completely replaced by SSEP. The key reason of high positive rate about SSEP was correction, of examined method ?The next reason was high sensitivity of the instrument and N1Wave observed mainly . The authors put forward that SSEP can judge the function of nerve root and CT can display morphological change about lumbar disc prolopse. Two methods should be combined so that they can provide more overall and accurate information for diagnosis and treatment of lumbar disc prolapse.

【关键词】 F波SSEP腰椎间盘突出
【Key words】 F wave SSEP Lumbar disc prolapse Diagnosis.
  • 【文献出处】 实用骨科杂志 ,Journal of Practical Orthopedics , 编辑部邮箱 ,1997年02期
  • 【分类号】R681.5
  • 【被引频次】2
  • 【下载频次】28
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