术中神经监测信号丢失对全切甲状腺手术决策的影响-中西方观点异同  

The influence of loss of intraoperative nerve monitoring signal on decision-making of total thyroidectomy: similarities and differences between Chinese and western perspectives

作　　者：寇杰栋 赵诣深[1] 梁楠[1] 孙辉[1] Kou Jiedong;Zhao Yishen;Liang Nan;Sun Hui(Department of Thyroid Surgery,China-Japan Union Hospital of Jilin University,Jilin Provincial Key Laboratory of Translational Medicine of Surgery,Jilin Provincial Engineering Laboratory of Thyroid Disease Prevention and Treatment,Changchun 130033,China)

机构地区：[1]吉林大学中日联谊医院甲状腺外科,吉林省外科转化医学重点实验室,吉林省甲状腺疾病防治工程实验室,长春130033

出　　处：《中华内分泌外科杂志》2022年第4期503-505,共3页Chinese Journal of Endocrine Surgery

基　　金：吉林省卫生科研人才专项项目(2020SCZ03)。

摘　　要：随着甲状腺术中神经监测(intraoperative nerve monitoring,IONM)技术的推广普及,术中对神经功能的判定成为可能,为手术决策提供了循证依据。术中神经肌电信号丢失(loss of nerve signal,LOS)常提示术后声带运动障碍。术中一旦发生LOS,术者进一步采取何种手术策略,国内专家和西方学者对此一直存在争议。本文通过调研国内外文献,对比分析国内专家和西方学者的观点差异及可能的原因。旨在为甲状腺手术决策提供理论依据。With the popularization of intraoperative nerve monitoring(IONM),it is possible to determine the intraoperative nerve function,which provides evidence-based basis for surgical decision making.Intraoperative loss of nerve signal(LOS)often indicates postoperative vocal cord dyskinesia.Once LOS occurs intraoperatively,the next surgical strategy adopted by the operator has always been controversial among Chinese and western experts.Therefore,this paper makes a comparative analysis of the differences between the viewpoints of domestic experts and western scholars and the possible causes through the investigation of domestic and foreign literature to provide theoretical basis for better thyroid surgery decision.

关 键 词：甲状腺手术 术中神经监测 肌电信号丢失 喉返神经 中西方差异 

分 类 号：R653[医药卫生—外科学]