文章摘要

术中神经监测技术在甲状腺手术中的应用与进展

作者: 1庞毅, 1单士岗
1 天津市第三中心医院 普通外科，天津 300170
通讯: 单士岗 Email: shanshigang2005001@163.com
DOI: 10.3978/.10.3978/j.issn.1005-6947.2015.11.021

摘要

喉返神经损伤是甲状腺手术较常见及最严重的并发症，尤其在复杂甲状腺手术及再次甲状腺手术中，因解剖层次不清、喉返神经解剖变异等所导致的喉返神经损伤机会加大。术中神经监测（IONM）是应用电生理技术监测术中神经功能完整性的一种技术，近年来研究显示，甲状腺手术中喉返神经IONM较常规暴露喉返神经能明显降低暂时性及永久性喉返神经损伤率。笔者就有关喉返神经IONM 在甲状腺手术中的应用与进展进行综述。
关键词： 甲状腺切除术 喉返神经损伤 术中神经监测 综述文献

Application and progress of intraoperative neuromonitoring technology in thyroid surgery

Authors: 1PANG Yi, 1SHAN Shigang
1 The Department of General Surgery, the Third Central Hospital of Tianjin, Tianjin 300170, China

CorrespondingAuthor:SHAN Shigang Email: shanshigang2005001@163.com

Abstract

Recurrent laryngeal nerve (RLN) injury is a common and serious complication of thyroid surgery. Especially in complicated or re-operative thyroid surgery, the risk of RLN injury is always increased due to indistinct anatomical planes and anatomic variations of RLN. Intraoperative neuromonitoring (IONM) is a technology for identifying the integrity of nerves during operation by electrophysiological means, and recent studies demonstrated that IONM of RLN can significantly reduce the chance of transient and permanent RLN injury compared to conventional RLN exposure in thyroid surgery. The authors address the application and progress of IONM technology in thyroid surgery.
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