西安交通大学学报（医学版）2024，Vol.45Issue(1)：94-99,6.DOI:10.7652/jdyxb202401016
经皮针状电极在甲状腺术中喉返神经监测的研究
Study on neurological monitoring with cortical electrodes in thyroidectomy
摘要
Abstract
Objective To compare the synergies between the transcutaneous needle electrodes and the ETT surface electrodes used for neurological surveillance in thyroidology,and explore how to identify and protect recurrent laryngeal nerve and vagus nerve when the patient is not suitable for oral plug or surface electrodes are failure.Methods To collect and analyze the clinical data of 32 patients undergoing surgical treatment for thyroid disease,a total of 40 neurons of the recurrent laryngeal nerves and vagus nerves were monitored,and the amplitude and latency were recorded using ETT surface electrodes and transcutaneous needle electrodes for nerve monitoring,respectively.SPSS 26.0 software was used for statistical analysis,paired t-tests were used to analyze and compare the latency periods,and the rank sum test was used to analyze whether there is a difference in the amplitude obtained from stimulation of transcutaneous needle electrodes and ETT surface electrodes.Results When the transcutaneous needle electrodes were used in thyroid surgery,we identified all the nerves,obtained two-phase electrical signals similar to the latency and amplitude of the ETT surface electrodes,and could effectively identify the recurrent laryngeal nerve and vagus nerve[(3.22±0.50)ms vs.(3.85±1.00)ms,P＜0.05]through the incapacity period,with no obvious difference in the monitoring effect from the ETT surface electrodes[(3.04±0.58)ms vs.(3.89±1.07)ms,P＜0.05].At the same time,the visualization and safety of transcutaneous needle electrodes were higher,with great advantages.Conclusion Transcutaneous needle electrodes can effectively assist in identifying and protecting the recurrent laryngeal nerve and vagus nerve,and thus are an important supplement to ETT surface electrodes.关键词
针状电极/神经监测/甲状腺手术/喉返神经/迷走神经Key words
needle electrode/neural monitoring/thyroid surgery/recurrent laryngeal nerve/vagus nerve分类
医药卫生引用本文复制引用
王哓艳,钟琦,马泓智,郭伟,丁硕,赵延明,何雨蓉,李齐佳..经皮针状电极在甲状腺术中喉返神经监测的研究[J].西安交通大学学报（医学版）,2024,45(1):94-99,6.基金项目
首都卫生发展科研专项(首发2022-2-2059)Supported by Capital's Funds for Health Improvement and Research(CFH 2022-2-2059) （首发2022-2-2059）
