术中神经监测技术在分化型甲状腺癌再次手术中的应用  

Intra-operative nerve monitoring in re-operation for differentiated thyroid carcinoma

作　　者：庄大勇[1] 贺青卿[1] 范子义[1] 郑鲁明[1] 朱见[1] 周鹏[1] 段松建[1] 岳涛[1] 董学峰[1] 

机构地区：[1]济南军区总医院甲状腺乳腺外科,济南250031

出　　处：《山东大学耳鼻喉眼学报》2013年第6期5-8,共4页Journal of Otolaryngology and Ophthalmology of Shandong University

基　　金：济南军区总医院院长基金资助(2011M03);中国博士后科学基金第三批特别资助项目(201003759)

摘　　要：目的探讨术中神经监测(IONM)技术在分化型甲状腺癌再次手术中的应用价值。方法分析济南军区总医院甲状腺乳腺外科47例分化型甲状腺癌再手术患者的临床病理资料,并在再次手术中应用IONM技术。结果再次手术后病理结果显示,再次手术前甲状腺癌残留率为45.45%,颈淋巴结转移率为82.98%。再次手术中无新的迷走神经和喉返神经损伤发生。结论初次手术术式选择不当是造成分化型甲状腺癌患者再次手术的主要原因,IONM技术可预防和减少分化型甲状腺癌再次手术中喉返神经损伤,应作为这类手术中的常规应用技术。Objective To investigate the value of intra-operative nerve monitoring （IONM） in re-operation for differen- tiated thyroid carcinoma. Method Forty-seven patients enrolled in our department were performed IONM in re-opera- tion. Results Post-operative pathology showed that 45.45% of the lesions were cancer and 82.98% of the lymph nodes were transferred. No vagus nerve and recurrent laryngeal nerve injures happened in the operations. Conclusion First inappropriate operative procedure is the main reason resulting in re-operation. IONM can be used to prevent and reduce the recurrent laryngeal nerve injure.

关 键 词：甲状腺肿瘤 分化型 再次手术 喉返神经 术中监测 

分 类 号：R736.1[医药卫生—肿瘤]