解放军医学院学报Issue(5):425-428,4.DOI:10.3969/j.issn.2095-5227.2015.05.005
术中神经监测对分化型甲状腺癌再次手术中保护喉返神经的作用
Role of intraoperative nerve monitoring in protecting recurrent laryngeal nerve in differentiated thyroid carcinoma reoperation
摘要
Abstract
Objective To assess the value of intraoperative nerve monitoring in reoperation for differentiated thyroid carcinoma. MethodsClinical data about 92 patients who underwent differentiated thyroid carcinoma reoperation with intraoperative nerve monitoring from October 2012 to October 2014 in the department of general surgery of Chinese PLA General Hospital were retrospectively analyzed.Results All operations were successfully completed without any symptoms of postoperative bleeding, bucking or hand and foot numbness. The recurrent laryngeal nerve signal in 3 cases were temporarily abnormal. Two cases were found to have temporary recurrent laryngeal nerve injures and no permanent recurrent laryngeal nerve injury was found.Conclusion Intraoperative nerve monitoring can assist surgeons infinding recurrent laryngeal nerve quickly during operation and reducing rate of recurrent laryngeal nerve injury, which is worthy of being applied in surgery widely.关键词
分化型甲状腺癌/术中神经监测技术/喉返神经Key words
differentiated thyroid carcinoma/intraoperative nerve monitoring/recurrent laryngeal nerve分类
医药卫生引用本文复制引用
臧宇,田文,姚京..术中神经监测对分化型甲状腺癌再次手术中保护喉返神经的作用[J].解放军医学院学报,2015,(5):425-428,4.基金项目
北京市科学技术委员会科技计划课题(Z141107002514102) Supported by Beijing Municipal Science and Technology Commission(Z141107002514102) (Z141107002514102)