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在外周神经刺激中进行手术内神经监测

Zinat S Annaev¹, Adam F Jackson¹, Konstantin V Slavin^2,3

¹Department of Neurology and Rehabilitation, University of Illinois at Chicago, Chicago, Illinois, USA.

The Neurodiagnostic journal

|November 6, 2025

概括

周围神经刺激 (PNS) 使用电脉冲来治疗疼痛和其他疾病. 术内神经生理监测 (IONM) 对于安全指导PNS程序和预防神经损伤至关重要.

科学领域:

神经学神经学
神经外科神经外科
生物医学工程生物医学工程

背景情况:

周围神经刺激 (PNS) 涉及为治疗目的对神经施加电刺激.
最初用于疼痛管理,PNS现在解决了诸如,抑郁症,睡眠呼吸暂停和呼吸不足等疾病.
PNS模式包括常规,皮肤间和外围神经场刺激.

研究的目的:

审查在外周神经刺激 (PNS) 程序期间使用手术内神经生理学监测 (IONM).
突出IONM在提高PNS干预措施的安全性和有效性方面的重要性.
讨论IONM在预防阳性损伤和指导手术向方面的作用.

主要方法:

对PNS中IONM应用的当前文献的综述.
讨论手术期间实时神经评估的电生理学方法.
分析IONM对手术决策和神经保护的贡献.

主要成果:

在PNS程序期间,IONM提供关键的实时信息,补充了手术前评估.
IONM有助于检测和最大限度地减少阴性神经损伤.
IONM 便于精确地绘制神经结构和评估神经功能.

结论:

IONM是确保外围神经刺激的安全性和有效性的宝贵工具.
将IONM集成到PNS程序中可以改善手术结果和患者安全.
建议在PNS中进一步研究和采用IONM.

关键词:

背部根腺刺激背部根腺刺激在手术内进行的手术.通过神经调节进行神经调节.神经系统监测神经系统监测周围神经的刺激.

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