Department of Sports Medicine, Gdansk University of Physical Education and Sport, Gorskiego 1 Str, 80-336 Gdansk, Poland.
Expert Rev Med Devices. 2012 Nov;9(6):571-5. doi: 10.1586/erd.12.52.
Intraoperative neurophysiologic monitoring (IONM) is essential in the preservation of function of nervous system. IONM is thus becoming the gold-standard method in nerve-sparing surgical procedures. Apart from spine and brain surgery, IONM is essential in significantly reducing morbidity in colorectal surgery, prostate and thyroid surgery, as well as in hip replacement, to name a few. IONM measures weak electric nerve potentials and, therefore, it is easily disturbed by other electromagnetic sources. Surgical dissection techniques and devices interfering with IONM make this technique useless because this is dissection that mainly endangers nerve structures. Therefore, there is a need to take into consideration the influence of various dissection techniques on IONM, and to develop or modify inert techniques that are currently not widely used.
术中神经生理监测（IONM）对于保护神经系统功能至关重要。因此，IONM 正成为神经保护手术的金标准方法。除了脊柱和脑部手术外，IONM 在显著降低结直肠手术、前列腺和甲状腺手术以及髋关节置换术等手术的发病率方面也至关重要。IONM 测量微弱的电神经电位，因此很容易受到其他电磁源的干扰。外科解剖技术和干扰 IONM 的设备使该技术变得无用，因为正是这些解剖技术主要危及神经结构。因此，需要考虑各种解剖技术对 IONM 的影响，并开发或修改目前尚未广泛使用的惰性技术。
