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The Diagnostic Value of SEP in LDH and its Forensic Significance
Author(s): 
Pages: 30-33
Year: Issue:  1
Journal: JOURNAL OF FORENSIC MEDICINE

Keyword:  体感诱发电位腰椎间盘突出症法医临床学;
Abstract: 目的探讨体感诱发电位(SEP)对腰椎间盘突出症(LDH)的诊断价值.方法对60例LDH患者和30例正常人行皮节体感诱发电位(DSEP)和胫后神经体感诱发电位(PTNSEP)检查.结果DSEP的异常率为93.3%,显著高于PTNSEP检测的异常率(43.3%)(P<0.001).L3-4椎间盘以L4 DSEP异常为主,L4-5椎间盘突出以L5 DSEP异常为主,L5S1椎间盘突出以S1 DSEP异常为主.结论DSEP与腰骶神经根损伤有良好的相关性,弥补了影像学检查的不足,既可判定单根神经根的功能状态,又可辅助定位诊断,是一种敏感的辅助诊断LDH的电生理方法.
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