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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.

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。

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