青岛大学医学院学报2017，Vol.53Issue(3)：264-268,5.DOI:10.13361/j.qdyxy.201703004
甲状腺手术喉返神经监测预防其损伤的Meta分析
ROLE OF INTRAOPERATIVE NEUROMONITORING OF RECURRENT LARYNGEAL NERVE IN PREVENTING ITS INJURY IN THYROID SURGERY: A META-ANALYSIS
摘要
Abstract
Objective To investigate the advantages and disadvantages of intraoperative neuromonitoring (IONM) versus conventional exposure of recurrent laryngeal nerve (RLN) in preventing RLN injury in thyroid surgery.Methods Wanfang Data,CNKI,CBM,PubMed,and Embase were searched for randomized controlled trials,case-control studies,and cohort studies on the effect of IONM versus conventional exposure of RLN in thyroid surgery.Stata 13.0 software was used to perform the Metaanalysis and compare the outcomes.Results A total of 12 articles with 4 820 patients and 5 134 nerves were included.The Metaanalysis showed that the IONM group had a lower rate of temporary injury than the conventional exposure group (OR =0.40,95 ％ CI=0.26=0.62),and there was no significant difference in the rate of permanent injury rate between the two groups (OR =0.42,95％CI=0.16-1.13).Conclusion IONM in thyroid surgery can reduce temporary RLN injury,and rational application of IONM of RLN in thyroid surgery has great significance.关键词
甲状腺切除术/喉返神经/术中神经监测/Meta分析Key words
thyroidectomy/recurrent laryngeal nerve/intraoperative neuromonitoring/Meta-analysis分类
医药卫生引用本文复制引用
周忠涵,陈雪红,王士东,李雪鹏..甲状腺手术喉返神经监测预防其损伤的Meta分析[J].青岛大学医学院学报,2017,53(3):264-268,5.基金项目
国家自然科学基金项目(81473384) （81473384）
