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神经修复的术中监测

Intraoperative monitoring of nerve repairs.

作者信息

Slimp J C

机构信息

Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, USA.

出版信息

Hand Clin. 2000 Feb;16(1):25-36.

PMID:10696574
Abstract

These examples illustrate the interplay of the electrophysiologic techniques of SEP, EMG, NCAPs, and nerve conduction studies to achieve the goals of monitoring, guiding, identifying and localizing, and assessing nerve function. Through their successful application, intraoperative neurophysiology moves from solely monitoring to serving as an electrophysiologic aid to the surgeon. Using all of these techniques provides a comprehensive analysis of nerve function. The overall goal is both to prevent intraoperative neural compromise and to optimize postoperative outcome by providing the surgeon with the best possible information regarding the functional condition of the nerves under investigation.

摘要

这些例子说明了体感诱发电位(SEP)、肌电图(EMG)、神经传导相关电位(NCAPs)和神经传导研究等电生理技术之间的相互作用,以实现监测、引导、识别和定位以及评估神经功能的目标。通过它们的成功应用,术中神经生理学从单纯的监测转变为对外科医生的电生理辅助。使用所有这些技术可对神经功能进行全面分析。总体目标是通过为外科医生提供有关所研究神经功能状况的尽可能最佳信息,既防止术中神经受损,又优化术后结果。

相似文献

1
Intraoperative monitoring of nerve repairs.神经修复的术中监测
Hand Clin. 2000 Feb;16(1):25-36.
2
[Methods, indications and validation of intraoperative nerve conductivity testing].[术中神经传导性测试的方法、适应症及验证]
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Upper-limb somatosensory evoked potential monitoring in lumbosacral spine surgery: a prognostic marker for position-related ulnar nerve injury.腰骶部脊柱手术中上肢体感诱发电位监测:与体位相关尺神经损伤的预后标志物
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The role of neurodiagnostic studies in nerve injuries and other orthopedic disorders.神经诊断研究在神经损伤及其他骨科疾病中的作用。
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5
Changes in duration and amplitude of the evoked muscle action potential (EMAP) over distance in peroneal, median, and ulnar nerves.
Am J Phys Med. 1983 Jun;62(3):123-34.
6
Electrodiagnostic techniques in the evaluation of nerve compressions and injuries in the upper limb.上肢神经压迫与损伤评估中的电诊断技术
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7
Median and ulnar nerves in the hand.手部的正中神经和尺神经。
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8
[Invited Commentary on the Article of D. Burg, M. In"fanger, C. Meuli-Simmen, Th. Stallmach, G. Beer, S. Amgwerd, V. E. Meyer: Methode, Indikation und kritische Wertung der intraoperativen Nervenfunktionsdiagnostik].
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Newer electrodiagnostic techniques in peripheral nerve injuries.周围神经损伤的新型电诊断技术
Orthop Clin North Am. 1988 Jan;19(1):13-25.

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