局部晚期分化型甲状腺癌累及喉神经处理策略专家共识  

Expert consensus on management strategies for locally advanced differentiated thyroid cancer involving the laryngeal nerve

作　　者：中国医疗保健国际交流促进会甲状腺疾病学分会 中华预防医学会甲状腺疾病防治专业委员会 中华医学会耳鼻咽喉-头颈外科学分会头颈学组 房居高[2] 刘绍严[3] 钟琦[2] 倪松[4] 马泓智[2] 冯凌[2] 何时知 时倩[2] 赵延明[2] 沈茜茜 王海舟[2] 王哓艳 Thyroid Disease Branch,China International Exchange and Promotion Association for Medical and Healthcare;Thyroid Disease Prevention and Treatment Branch,Chinese Preventive Medical Association;Head and Neck Group,Otolaryngology-Head and Neck Surgery Branch,Chinese Medical Association;Fang Jugao;Liu Shaoyan(不详;Department of Otorhinolaryngology-Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China;Department of Head and Neck Surgery,Cancer Hospital,Chinese Academy of Medical Sciences,National Cancer Center,Beijing 100021,China)

机构地区：[1]不详 [2]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100730 [3]国家癌症中心,中国医学科学院肿瘤医院头颈外科,北京100021 [4]中国医学科学院肿瘤医院头颈外科

出　　处：《中华医学杂志》2024年第2期125-131,共7页National Medical Journal of China

摘　　要：喉神经是局部晚期分化型甲状腺癌最常累及的周围结构,经常需要更大的切除范围和相应的重建,由此出现一系列并发症及后遗症。因此,治疗策略必须在保证生存获益的同时,兼顾功能保护或重建,在术前进行全面详尽评估,针对不同情况科学分层,制定与之相应的周密的治疗计划。本共识面向甲状腺外科相关医师、嗓音学医师、麻醉医师、康复师和护士等人群,规范累及喉神经的晚期分化型甲状腺癌的诊断、治疗及康复技术标准和流程,使广大甲状腺癌患者获益。The laryngeal nerve is the most commonly involved peripheral structure of locally advanced differentiated thyroid carcinoma,which often requires larger resection range and corresponding reconstruction,resulting in a series of complications and sequelae.Therefore,treatment strategies must not only guarantee survival benefits,but also take into account functional protection or reconstruction.Comprehensive and detailed evaluation should be conducted before surgery,and a thorough treatment plan should be made according to scientific stratification in different situations.This consensus aims at thyroid surgeons,voice physicians,anesthesiologists,rehabilitators,nurses and other groups,and standardizes the diagnosis,treatment and rehabilitation technical standards and procedures of advanced differentiated thyroid cancer involving laryngeal nerve,so as to benefit the majority of thyroid cancer patients.

关 键 词：甲状腺肿瘤 喉上神经 喉返神经 术中神经监测 喉神经重建 

分 类 号：R736.1[医药卫生—肿瘤]