脂肪和正常之间的触发电肌图反应的差异是终端的
Yizi Cai1, Rui Wang2, Junlu Wang2
1Department of Neonatology, Shanghai Children's Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
BMC surgery
|February 16, 2024
概括
末端膜 (FT) 可以导出神经冲动,正如在手术期间触发电肌图 (EMG) 所示. 脂肪 filum terminale 需要比正常FT更高的刺激值,突出显示EMG.
科学领域:
- 神经科学是一个神经科学.
- 手术神经病学 手术神经病学
- 儿科神经外科 儿科神经外科
背景情况:
- 末 (FT) 在神经冲动传导中的功能作用尚不清楚.
- 这项研究研究了FT的功能,在手术过程中使用触发式电肌图 (EMG).
研究的目的:
- 使用触发式电肌学 (EMG) 探索终端膜 (FT) 的功能作用.
- 为了在手术期间区分正常与脂肪 filum terminale 的神经生理特性.
主要方法:
- 对168名儿科患者的手术内神经生理学监测数据的回顾性审查.
- 在选择性脊椎根茎切割 (SDR) 和脂肪切割手术期间,从终端刺激中触发的EMG记录的分析.
主要成果:
- 正常的 filum terminale (FT) 在0.68mA的平均值引起电肌图学 (EMG) 活动.
- 有脂肪透的脂肪末端 (FT) 即使在4.0mA时也没有引起EMG活性.
- 21.03的值比率有效地区分了脂肪FT和具有高灵敏度和特异性的正常FT.
结论:
- 正常的 filum terminale (FT) 表现出类似于尾巴马神经根的EMG活动.
- 与正常的FT相比,Fatty filum terminale (FT) 显示出不同的神经生理特性.
- 触发EMG对于成功进行涉及 filum terminale (FT) 的无手术至关重要.
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