术中神经电生理监测技术在经鼻内镜颅底手术中的进展

Advances in Intraoperative Neurophysiological Monitoring Techniques in Transnasal Endoscopic Skull Base Surgery

近年来经鼻内镜颅底手术量日益增加,其适应症不断扩展,而术中术后潜在的神经血管并发症值得神经外科医生重点关注。术中神经电生理多模态监测技术使得神经外科医生能实时监控脑血流灌注情况和相关颅神经的功能状况,及时调整手术操作和策略,从而降低患者术后神经功能并发症风险。本文结合现有文献,对经鼻内镜颅底手术中各重点部分的监测策略进行综述,供临床医生参考。

Transnasal endoscopic skull base surgery has been increasing in volume in recent years and its indications are constantly expanding.The potential occurrence of intraoperative and postoperative neurovascular complications deserves special attention from neurosurgeons.Multimodal intraoperative neurophysiological monitoring technology allows neurosurgeons to monitor cerebral perfusion and the functional status of the associated cranial nerves in real time,thereby enabling surgeons to make prompt adjustments in surgical procedures and strategies and reduce the risks of postoperative neurological complications in patients.Based on available literature,we reviewed how appropriate monitoring strategies were optimized for different key components of transnasal endoscopic skull base procedures,intending to provide reference for clinicians.