跨头电机引起的潜在链接四极组装的安全性
Cinira Diogo1,2,3, Anthony Clanton1,2, Stephen Holmberg1,2
1Nuvasive Clinical Services, Columbia, Maryland.
概括
与双极组合相比,连接的四极组合用于跨电机唤起的潜能 (qTceMEP) 对于脊柱手术是安全的,没有增加严重手术内损伤的风险. 这两种方法都显示,轻微的口腔损伤的发生率很低.
科学领域:
- 神经外科 神经外科
- 神经生理学 神经生理学
- 脊柱外科手术 脊柱外科手术
背景情况:
- 跨电机唤起潜能 (qTceMEP) 的链接四极组合越来越多地被用于其产生更大的复合肌肉动作潜能幅度的潜力.
- 尽管它越来越受欢迎,但qTceMEP的患者安全概况尚未先前研究.
研究的目的:
- 评估链接四极组合对经电机唤起潜能 (qTceMEP) 的安全性,在接受脊椎手术的患者中.
- 为了比较 qTceMEP 和传统的双极组合之间的手术内不良事件的发生率.
主要方法:
- 一个追溯的回顾 3,806 脊柱手术使用手术内跨脑电动机唤起的潜力 (TceMEP).
- 两极性TceMEP使用的1,196例病例和使用qTceMEP的2,610例病例之间的不良事件率 (发作,心脏事件,口腔损伤,运动损伤) 的比较.
- 使用MedCalc.进行的统计分析.
主要成果:
- 在双极TceMEP或qTceMEP组中,没有报告发作,心脏异常或与设备相关的不良事件.
- 术后口腔损伤的发生率相似:双极TceMEP的0.4%,qTceMEP的0.5%.
- 两种TceMEP组件之间的口腔损伤发生率差异在统计学上并不显著.
结论:
- 在脊椎手术中使用qTceMEP与双极TceMEP组件相似的安全性相关.
- qTceMEP不会增加手术内伤害的风险,包括发作,心脏事件或与运动有关的重大伤害.
- 双重情绪和qTceMEP都是安全的,轻微的口腔损伤的发生率很低,没有其他报告的不良影响.
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