Van Beek A, Hubble B, Kinkead L, Torros S, Suchy H
Plast Reconstr Surg. 1983 Feb;71(2):225-40. doi: 10.1097/00006534-198302000-00015.
The use of nerve stimulating and recording techniques intraoperatively contributes to clinical assessment of peripheral nerve injuries in certain reconstructive procedures. Unfortunately, the electrical technology required to perform these tests often discourages the clinician from its common usage. Twenty-two patients were studied. Eight patients had stimulation only of motor or sensory fascicles performed to enhance alignment. In 14 patients, stimulation and recording techniques were utilized to evaluate neuroma incontinuities or brachial plexus injuries. In 5 of these 14 patients, the intraoperative determinations altered or aided the surgical management. The parameters of electrical safety, estimated costs, and illustrated clinical applications are outlined.
术中使用神经刺激和记录技术有助于在某些重建手术中对周围神经损伤进行临床评估。不幸的是，进行这些测试所需的电气技术常常使临床医生不愿经常使用它。对22名患者进行了研究。8名患者仅进行了运动或感觉束的刺激以改善对合。在14名患者中，使用刺激和记录技术来评估神经瘤的连续性中断或臂丛神经损伤。在这14名患者中的5名中，术中的判断改变或辅助了手术管理。概述了电气安全参数、估计成本和举例说明的临床应用。
