术中神经监测识别非返性喉返神经6例经验  

Intraoperative neuromonitoring in identification of non-recurrent laryngeal nerve ： experience of 6 cases

作　　者：孙辉[1] 刘晓莉[1] 赵涛[1] 付言涛[1] 张大奇[1] 赵丽娜[1] 辛精卫[1] 郑泽霖[1] 

机构地区：[1]吉林大学中日联谊医院甲状腺外科,长春130033

出　　处：《中华内分泌外科杂志》2010年第6期402-404,共3页Chinese Journal of Endocrine Surgery

摘　　要：目的 应用术中神经监测技术（IONM）识别、保护非返性喉返神经（NRLN）,探讨减少NRLN损伤的新方法.方法 总结吉林大学中日联谊医院2009年3月至2010年1月,279例复杂甲状腺术中应用IONM识别、监测喉返神经（RLN）经验,提出在解剖RLN前,通过探查迷走神经及RLN走行区预测RLN神经变异及术中NRLN识别、监测的技巧.结果 术中应用IONM迅速准确识别NRLN 6例,均位于右侧,手术均无损伤.结论 NRLN术前预测、术中肉眼识别非常困难.应用IONM术中预测、识别、监测,可显著减少NRLN损伤风险.Objective To find new way to reduce non-recurrent laryngeal nerve （NRLN） injuries by applying intraoperative neuromonitoring（IONM） to identify NRLN in thyroidectomy. Methods Records of 279 patients who underwent complex thyroidectomy by applying IONM to identify and monitor RLN from Mar. 2009 to Jan. 2010 were veviewed. We proposed the skills to identify and monitor NRLN and predict RLN varition through exploring vagus nerve and RLN before RLN dissection. Results 6 cases NRLN located on the right side were all accurately identified by IONM, thus no injury of NRLN occurred during thyroid operations. Conclusions NRLN is difficult to be predicted preoperatively and identified by naked eyes. The application of IONM to predict, identify and monitor NRLN could remarkably reduce the possibility of NRLN injury.

关 键 词：非返性喉返神经 术中神经监测 甲状腺手术 

分 类 号：R653[医药卫生—外科学]