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翻修全髋关节置换术中的坐骨神经监测

Sciatic nerve monitoring during revision total hip arthroplasty.

作者信息

Kennedy W F, Byrne T F, Majid H A, Pavlak L L

机构信息

Theda Clark Regional Medical Center, Neenah, Wisconsin.

出版信息

Clin Orthop Relat Res. 1991 Mar(264):223-7.

PMID:1847669
Abstract

This study presents a simple method of intraoperative sciatic nerve monitoring during revision total hip arthroplasty (THA), utilizing intraoperative, somatosensory evoked potentials. Using this method, the sciatic nerve was protected when surgical correction of shortened limb length was necessary during revision THA. Twenty-three revision THAs were performed using intraoperative sciatic nerve monitoring. No postoperative peripheral nerve complications occurred, with an average increase of 18 mm in leg length, ranging from 6 mm to 43 mm.

摘要

本研究提出了一种在翻修全髋关节置换术(THA)期间利用术中体感诱发电位进行坐骨神经监测的简单方法。使用该方法,在翻修THA期间进行肢体长度缩短的手术矫正时,坐骨神经得到了保护。采用术中坐骨神经监测进行了23例翻修THA。术后未发生周围神经并发症,腿长平均增加18毫米,范围为6毫米至43毫米。

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