术中神经电生理监护对保护神经功能的应用  

Applications of Intraoperative Neurophysiologic Monitoring in Protecting Neural Functions

作　　者：陈正和[1] 陈忠平[1] 

机构地区：[1]中山大学肿瘤防治中心神经外科,广东广州510060

出　　处：《中国神经肿瘤杂志》2013年第3期194-198,共5页Chinese Journal of Neuro-Oncology

摘　　要：神经外科目前已经发展到了"微侵袭"阶段。现有的一些技术,如功能性核磁共振(functional MRI,fMRI)、术中核磁共振(intraoperative MRI,iMRI)、正电子发射断层扫描(positron emission tomography,PET)、术中导航(neurosurgery navigation system)等技术的发展可以有效地指导病灶范围判断,但是这些基本都是解剖定位,而非针对神经功能的功能定位。而且,由于个体差异及病灶导致的功能重塑,使解剖定位亦出现困难。术中神经电生理监护(intraoperative neurophysiologic monitoring,IONM)可以进行非常肯定的神经功能定位。本文就术中神经电生理监护技术在保护脑功能区的应用做一综述。Nowadays, neurosurgery has been developed to a new stage of minima-invasive neurosurgery. The advent of new techniques, such as functional magnetic resonance imaging （fMRI）, intraoperative MRI （iMRI）, and positron emission tomography （PET）, avail to anatomically locate the specific area, but not functionally. There are various factors, such as the mass effect of tumor and reconstruction of function. Intraoperative neurophysiologic monitoring makes it be possible to achieve functional mapping.

关 键 词：术中 神经电生理监护 神经功能 

分 类 号：R739.41[医药卫生—肿瘤]