Nelson K R, Phillips L H
Department of Neurology, University of Kentucky Medical Center, Lexington 40537-0084.
Semin Neurol. 1990 Jun;10(2):141-9. doi: 10.1055/s-2008-1041263.
Physiologic monitoring may warn of impending neural damage and intraoperative assessment may provide critical information used to direct the surgical procedure itself. Intraoperative techniques utilize methods modified from the diagnostic neurophysiologic laboratory. Simultaneous multimodality recording of different signal sources is of particular value for several types of procedures. Intraoperative studies must be tailored to each patient's clinical condition and to the specific surgical risks. Since studies have supported the benefits of intraoperative monitoring for peripheral nerve and cranial nerve surgery, monitoring is not likely to be subjected to the rigors of a randomized controlled study for these procedures.
生理监测可能会对即将发生的神经损伤发出警告，术中评估可能会提供用于指导手术过程本身的关键信息。术中技术采用了诊断神经生理学实验室改良的方法。同时对不同信号源进行多模态记录对几种手术类型具有特殊价值。术中研究必须根据每个患者的临床状况和特定手术风险进行调整。由于研究已证实术中监测对周围神经和颅神经手术有益，因此对于这些手术，监测不太可能接受随机对照研究的严格检验。
