Acta biomedica scientifica Acta biomedica scientifica Acta biomedica scientifica 2541-9420 2587-9596 14155 10.12737/22942 Клиническая медицина Clinical Medicine Клиническая медицина ANALYSIS OF THE RESULTS OF INTRAOPERATIVE NEUROPHYSIOLOGICAL MONITORING IN THE CENTER OF NEUROSURGERY OF RAILWAY CLINICAL HOSPITAL AT THE IRKUTSK-PASSAZHIRSKIY RAILWAY STATION OF RUSSIAN RAILWAYS LTD. АНАЛИЗ РЕЗУЛЬТАТОВ ПРИМЕНЕНИЯ ИНТРАОПЕРАЦИОННОГО НЕЙРОМОНИТОРИНГА В ЦЕНТРЕ НЕЙРОХИРУРГИИ ДОРОЖНОЙ КЛИНИЧЕСКОЙ БОЛЬНИЦЫ НА СТАНЦИИ ИРКУТСК-ПАССАЖИРСКИЙ ОАО «РЖД» Борисов Алексей Сергеевич Borisov Aleksey Сергеевич borisovas@vrach-neurolog.ru Левина Галина Юрьевна Levina Galina Юрьевна Levina@vrach-neurolog.ru Калинин Андрей Андреевич Kalinin Andrey Andreyevich Бывальцев Вадим Анатольевич Byvaltsev Vadim Анатольевич byval75vadim@yandex.ru 30 11 2016 30 11 2016 1 4 46 50 https://zh-szf.ru/en/nauka/article/14155/view

Интраоперационный нейромониторинг – это исследование нейрофизиологических параметров во время хирургического вмешательства, что позволяет облегчить работу хирурга, снизить риск ятрогенных повреждений, прогнозировать послеоперационный период. В Центре нейрохирургии НУЗ ДКБ на ст.Иркутск-Пассажирский ОАО «РЖД» проведено 17 операций с использованием ISIS IOM System. В статье представлены методика проведения и полученные результаты, подтверждающие статистические данные об эффективности метода.

The reduction of postoperative complication rate is a significant trend in modern surgery. One of the most important methods of intraoperative diagnostics is intraoperative neurophysiological monitoring (IONM). The aim of the research was to assess capabilities of intraoperative neurophysiological monitoring in neurosurgical practice considering literature data and experience of IONM application in the Center of Neurosurgery Railway Clinical Hospital at the Ir-kutsk-Passazhirskiy Railway Station of Russian Railways Ltd. We conducted 17 surgeries using IONM. We described the procedure, analyzed data of monitoring and patients’ condition in early postoperative period. No deviations requiring modifications in surgical manipulations were found during neuromonitoring. No iatrogenic neurological disorders were registered in postoperative period. Intraoperative neurophysiological monitoring is an additional effective method which allows reducing the risk of postoperative complications and indirectly improving the results of surgical manipulations.

интраоперационный нейромониторинг нейрохирургия опыт применения intraoperative neurophysiological monitoring neurosurgery application experience

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