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一种用于臂丛神经和周围神经损伤手术中的电诊断新方法。经颅骨运动区刺激诱发运动神经动作电位的价值。

A new method of electrodiagnosis during operations on the brachial plexus and peripheral nerve injuries. The value of motor nerve action potentials evoked by trans-skull motor area stimulation.

作者信息

Kondo M, Matsuda H, Miyawaki Y, Yoshimura M, Shimazu A

出版信息

Int Orthop. 1985;9(2):115-21. doi: 10.1007/BF00266953.

DOI:10.1007/BF00266953
PMID:4055173
Abstract

A method is described which records efferent motor nerve action potentials (MNAPs), evoked by trans-skull motor area stimulation, directly from a nerve root or peripheral nerve fibres during operation. The records of MNAPs from the root show whether function of the anterior root is intact and its continuity retained. When recorded from the proximal stump of a divided nerve at the wrist the motor funiculus can be identified, enabling funicular nerve suture to be carried out more easily.

摘要

本文描述了一种方法,该方法可在手术过程中直接从神经根或周围神经纤维记录经颅骨运动区刺激诱发的传出运动神经动作电位(MNAPs)。来自神经根的MNAPs记录显示前根功能是否完整及其连续性是否保留。当从手腕处离断神经的近端残端记录时,可以识别运动索,从而使索状神经缝合更容易进行。

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本文引用的文献

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Sensory nerve conduction after traction lesion of the brachial plexus.臂丛神经牵拉伤后的感觉神经传导
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The role of somatosensory evoked potentials and nerve conduction studies in the surgical management of brachial plexus injuries.
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Post-traumatic lesions of the brachial plexus: treatment by transclavicular exploration and neurolysis or autograft reconstruction.臂丛神经创伤后损伤:经锁骨探查及神经松解术或自体移植重建术治疗
J Bone Joint Surg Am. 1973 Sep;55(6):1159-76.
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Somatosensory cerebral evoked potentials in diagnosing brachial plexus injuries.
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Surgical treatment of traction injuries of the brachial plexus.臂丛神经牵拉伤的外科治疗
Clin Orthop Relat Res. 1978 Jun(133):71-90.
7
Investigation of brachial plexus traction lesions by peripheral and spinal somatosensory evoked potentials.通过外周和脊髓体感诱发电位研究臂丛神经牵拉伤
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Surgical management of brachial plexus injuries.臂丛神经损伤的外科治疗
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