Xu J, Gu Y, Shen L
Department of Hand Surgery, Huashan Hospital, Shanghai Medical University, P. R. China.
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 1997 Jul;11(4):210-2.
In order to enhance the therapeutic effectiveness of peripheral nerve injury, intraoperative extrastrong electrical stimulation was used in peripheral nerve surgery. In 16 cases of incomplete peripheral rnerve injuries or poorly regeneratedn erves, continuous intraoperative electrophysiological monitoring was used for guidance of neurolysis. Meanwhile, extrastong electrical stimulation was applied. The latency and amplitude before and after electrical stimulation were recorded and the extent of improrement was compared. In all cases, the latency and amplitude were improved after neurolysis and electrical stimulation. Clinical follow-up also showed that the function of corresponding innorvated muscle was improved. Continuous intraoperative extrastrong electrical stimulation could be used as an practical measure to increase the effectiveness of peripheral nerve treatment.
为提高周围神经损伤的治疗效果，在周围神经手术中采用术中超强电刺激。对16例周围神经不完全损伤或神经再生不良的患者，术中采用连续电生理监测以指导神经松解术。同时，施加超强电刺激。记录电刺激前后的潜伏期和波幅，并比较改善程度。所有病例在神经松解术和电刺激后潜伏期和波幅均有改善。临床随访也显示相应支配肌肉的功能得到改善。术中连续超强电刺激可作为提高周围神经治疗效果的一种实用措施。
