Sarnthein J, Krayenbühl N, Actor B, Bozinov O, Bernays R
Klinik für Neurochirurgie, Universitätsspital Zürich.
Praxis (Bern 1994). 2012 Jan 18;101(2):99-105. doi: 10.1024/1661-8157/a000817.
Intraoperative Neurophysiological Mo-nitoring (IONM) identifies eloquent areas or nerves fibers during neurosurgical interventions and monitors their function. For several interventions IONM has become mandatory in neurosurgery. IONM increases patient safety during surgery as the risk of neurological deficits is reduced. Safer surgery reduces the time needed for the intervention and thereby reduces risk. IONM contributes to complete resection of tumors, which in turn prolongs patients' survival. Complicated surgical interventions associated with an elevated risk of neurological deficits have only become possible due to IONM. IONM comprises a variety of procedures that are selected for a particular intervention. With appropriate selection of the procedures IONM has been shown to improve neurological and functional outcome after neurosurgical interventions.
术中神经生理监测（IONM）在神经外科手术中识别明确的区域或神经纤维，并监测其功能。对于多种手术，IONM在神经外科已成为必需。IONM可提高手术期间的患者安全性，因为神经功能缺损的风险降低了。更安全的手术减少了手术所需时间，从而降低了风险。IONM有助于肿瘤的完整切除，进而延长患者生存期。由于IONM，才使得具有较高神经功能缺损风险的复杂手术干预成为可能。IONM包括为特定手术选择的多种程序。通过适当选择程序，IONM已被证明可改善神经外科手术后的神经和功能结局。
