三种喉返神经保护技术在高风险甲状腺手术中应用价值的研究进展  

Research progress on the application value of three kinds of recurrent laryngeal nerve protection techniques in high-risk thyroidectomy

作　　者：陈文斌 裴茂炜[1] 郑克 胡铭荣[1] Chen Wenbin;Pei Maowei;Zheng Ke;Hu Mingrong(Department of General Surgery, the Affiliated Hospital of Hangzhou Normal University, Hangzhou 310015, China)

机构地区：[1]杭州师范大学附属医院普通外科,310015

出　　处：《中国综合临床》2018年第4期381-384,共4页Clinical Medicine of China

摘　　要：甲状腺手术中喉返神经保护一直是临床医师研究的课题。高风险甲状腺手术是指喉返神经损伤率高的手术。包括甲状腺再次手术、巨大甲状腺肿、胸骨后甲状腺肿、背侧甲状腺肿物手术以及甲状腺恶性肿瘤手术等多种类型。现就显露喉返神经、术中神经监测、持续术中神经监测等三种喉返神经保护技术在高风险甲状腺手术中应用价值的研究作一综述。The protection of recurrent laryngeal nerve in thyroidectomy has been a research topic for clinicians.High-risk thyroidectomy is an operation with high rate of recurrent laryngeal nerve injury which including thyroid reoperation, giant goiter surgery, substernal goiter surgery, dorsal thyroid tumor surgey and thyroid malignancy surgery and so on.The application value of three kinds of laryngeal recurrent nerve protection techniques during high-risk thyroidectomy will be reviewed in this article, such as visualization alone, intraoperative nerve monitoring and continuous intraoperative nerve monitoring.

关 键 词：甲状腺手术 高风险 喉返神经 

分 类 号：R653[医药卫生—外科学]