[摘要] 目的 探讨术中电生理监护对椎管神经鞘瘤显微手术中的作用及意义，提高对椎管内神经鞘瘤的治疗水平。方法 回顾性分析65例术中电生理动态监护下，显微手术切除椎管内神经鞘瘤。结果 治愈60例(占92.3%)，好转5例(占7.7%)，无死亡；肿瘤全切62例，次全切除3例，全切率95.4%。结论 常规动态电生理监测下显微手术切除椎管神经鞘瘤，能保全脊髓神经的功能，减少副损伤，提高手术安全性；显微手术有助于提高肿瘤全切率，可有效减少术后复发。对影响脊柱稳定性的行脊柱融合内固定。

    [关键词] 椎管；神经鞘瘤；电生理监测；显微手术

    Electrophysiological monitor in microoperation of Schwannoma in vertebral canal:a report of 65 cases

    LAN Wen-zheng,CHEN Hou-qing,MENG Hui,et al.Linshui Second People’s Hospital,Sichuan 638500,China

    [Abstract] Objective To explore the action and significance of electrophysiological monitor in microoperation of Schwannoma in vertebral canal，so as to improve the therapeutic level of Schwannoma in vertebral canal.Methods Sixty-five cases of microoperation of Schwannoma in which electrophysiological monitor was performed were retrospectively analyzed.Results Of 65 patients,60 was cured(occupied 92.3%)，5 got better (occupied 7.7%)，no death occurred；total excision in 62 cases，subtotal excision in 3 cases，with total excision ratio 95.4%.Conclusion Conventional dynamic electrophysiological monitor in operation might protect spinal cord from functional damage ......