肿瘤预防与治疗2019，Vol.32Issue(12)：1094-1098,5.DOI:10. 3969／j. issn. 1674-0904. 2019. 12. 006
喉返神经监测技术在复杂甲状腺手术中的应用初探*
A Probe into the Application of Intraoperative Neuromonitoring in Com-plex Thyroid Surgery
摘要
Abstract
Objective: To discuss the application of intraoperative neuromonitoring (IONM) in complex thyroid or para-thyroid surgery. Methods: A total of 123 patients who underwent complex thyroid or parathyroid surgery in Jiangsu Cancer Hospital were assigned to experimental group (n=63) and control group (n=60). Age, gender, pathological type, history of tracheotomy, incidence of new recurrent laryngeal nerve injury and dyspnea in two groups were analyzed. Results: Incidence of temporary recurrent laryngeal nerve injury were 3. 2% in experimental group and 15% in control group (P=0. 048). Incidence of permanent recurrent laryngeal nerve injury were 0% in experimental group and 3. 3% in control group (P=0. 455). Meanwhile, fewer patients underwent tracheotomy in the IONM group (0 vs 3). Conclusion: IONM can reduce the incidence of recurrent laryngeal nerve injury by accurately locating recurrent laryngeal nerves, and precisely judge the function of recurrent laryngeal nerves to avoid unnecessary trache-otomy and reduce the risk of dyspnea caused by conservative observation.关键词
复杂甲状腺手术/术中喉返神经监测/喉返神经损伤Key words
Complex thyroid surgery/Intraoperative monitoring of recurrent laryngeal nerve/Recurrent laryngeal nerve injury分类
医药卫生引用本文复制引用
程帅,蒋媛,姚卫萍,刘方舟,郝汉霞,姚瑶,郭本丰,张园..喉返神经监测技术在复杂甲状腺手术中的应用初探*[J].肿瘤预防与治疗,2019,32(12):1094-1098,5.基金项目
江苏省科技厅临床重大专项基金(编号:BE2016796) （编号:BE2016796）
