喉返神经术中实时监护在甲状腺手术中的应用  

Application of recurrent laryngeal nerve monitoring during thyroid surgery

作　　者：张燕妮[1] 陈建强[1] 邹坚定[1] 鲁杰[1] 熊华[1] 

机构地区：[1]温州医科大学附属慈溪医院耳鼻咽喉头颈外科,慈溪315300

出　　处：《中国眼耳鼻喉科杂志》2015年第6期420-422,共3页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的探讨甲状腺手术中实行喉返神经实时监护对预防神经损伤的应用价值。方法对108例甲状腺手术患者,使用带有接触声带电极的专用气管插管连接神经监护仪对喉返神经进行术中实时监护,以保护神经,预防神经损伤。术前、术后通过喉镜检查声带活动情况。结果 108例甲状腺手术无一例发生术中喉返神经损伤。结论在甲状腺手术中实行喉返神经术中监护能有效保护喉返神经,减少神经损伤。Objective To evaluate the viability of intraoperative neuromonitoring of recurrent laryngeal nerve during thyroid surgery in preventing nerve injury. Methods One hundred and eight patients were enrolled in the study. NIM-Response electromyographic monitor system was used for surgery to protect nerve against injury. Laryngoscopy was utilized pre and post surgery. Results There was no nerve injury during thyroid surgery and no patient had a significant voice alteration. Conclusions Intraoperative neuromonitoring of recurrent laryngeal nerve during thyroid surgery is very useful in protecting nerve from injury.

关 键 词：甲状腺手术 喉返神经 术中神经监护 

分 类 号：R472.3[医药卫生—护理学]