甲状腺癌手术中喉返神经监测的临床应用  

Clinical application of laryngeal nerve monitoring in thyroid cancer surgery

作　　者：王宇[1] 杨舒雯[1] 李端树[1] WANG Yu;YANG Shuwen;LI Duanshu(Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center;Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China)

机构地区：[1]复旦大学附属肿瘤医院头颈外科,复旦大学上海医学院肿瘤学系,上海200032

出　　处：《中国癌症杂志》2017年第6期432-436,共5页China Oncology

基　　金：上海市科委西医引导项目(14411962402;16411966700);上海市卫计委面上项目(201640147);上海申康适宜技术联合开发推广应用项目(SHDC12016208)

摘　　要：近年来,随着甲状腺癌日趋增多,其主要手术风险喉返神经损伤受到了越来越多的重视。而术中神经监测(intraoperative neural monitoring,IONM)这一项在国外已经普及的技术,在国内的使用也逐渐成熟。该文结合临床实践对IONM的原理、操作、应用及优缺点进行讨论。Recurrent laryngeal nerve palsy is one of the most serious complications associated with thyroid cancer surgery.This study aimed to assess the efficacy of intraoperative neural monitoring(IONM)in preventing recurrent laryngeal nerve palsy during thyroid cancer surgery,analyze and elaborate the theory,operation standard,application,benefits and disadvantage based on clinical practice.

关 键 词：甲状腺癌 喉返神经损伤 术中神经监测 

分 类 号：R736.1[医药卫生—肿瘤]