神经管闭合不全的手术疗效探讨

A study of the surgical efficacy in spinal dysraphism

中文关键词:  神经管闭合不全，皮层体感诱发电位（CSEP），外科手术

英文关键词:Spinal dysraphism,Cortical somatosensory evoked potenital(CSEP),Surgical treatment,

中文摘要:

  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。

英文摘要:

  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