作　　者： (孔祥朋）; (柴伟）; (倪明）; (李想）; (王岩）;

机构地区： 中国人民解放军总医院骨科,北京100853

出　　处： 《中国骨与关节外科》 2017年第3期265-268,共4页

摘　　要： 全髋关节置换术(total hip arthroplasty,THA)是目前开展最早、数量最多的关节置换手术。术后神经损伤是一种较为少见的并发症,严重影响患者预后。现有文献表明,复杂髋关节置换术中多模式神经电生理监测可有效预测及预防下肢周围神经损伤。本文从神经损伤发生率、神经应用解剖、预后、危险因素、术中神经电生理监测原理及国内外研究等方面对THA术中神经损伤及神经电生理监测技术的相关研究进展进行综述。 Total hip arthroplasty（THA） is the earliest and most widely-used joint replacement surgery. Nerve injury is one of the rare postoperative complications, affecting the patients＇ prognosis seriously. The literatures show that multimodal neurophysiological monitoring can effectively forecast and prevent the peripheral nerve injury in complicated hip arthroplasty.In this paper we reviewed the research progress on nerve injury and neurophysiological monitoring in THA from aspects as the incidence of nerve injury, nerve anatomy, prognosis, risk factors, intraoperative neurophysiological monitoring and latest studies worldwide.

关 键 词： 关节成形术 置换 髋 神经损伤 监测 手术中 诱发电位 电生理学