在骨骨切除术期间的手术内神经监测提供了可操作的警报
Lukas G Keil1, James D Bomar1, Carolyn R Bower2
1Department of Orthopedics, Rady Children's Hospital, San Diego, California.
JB & JS open access
|March 17, 2025
概括
在11%的伯尔尼围骨切除术中出现了手术内神经监测 (IONM) 警报,导致手术调整,而没有手术后的神经缺陷. 这突出了IONM的优势.
科学领域:
- 整形外科手术 整形外科手术
- 神经监测是指神经系统的监测.
- 部保护手术是什么?
背景情况:
- 伯尔尼围骨切除术 (PAO) 越来越多地用于关节发育不良和入.
- 大型神经损伤发生在约2%的PAO手术中.
- 建议进行手术内神经监测 (IONM),但并非普遍采用PAO.
研究的目的:
- 报告伯尔尼PAO期间IONM警报的发生率和临床意义.
- 评估IONM对PAO患者安全的影响.
主要方法:
- 94个连续的伯尔尼PAO与IONM (2017-2023) 的回顾性审查.
- 监测包括运动唤起的潜能和体感觉唤起的潜能.
- 对IONM警报,手术反应和术后神经状态的分析.
主要成果:
- 在94个PAO中,IONM警报发生在10个PAO中 (11%).
- 六个警报促使手术团队采取行动 (例如,重新定位,碎片调整).
- 在任何病人身上都没有检测到术后的神经缺陷.
结论:
- 在大约11%的PAO中,IONM警报是可采取行动的.
- IONM可能会提高患者的安全性,并降低PAO期间神经损伤的风险.
- 这项研究支持IONM在伯尔尼PAO程序中的实用性.
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