术中神经监测技术在复杂甲状腺手术中的应用

被引：64

作者：

孙辉

刘晓莉

付言涛

张大奇

赵丽娜

张德恒

机构：

[1] 吉林大学中日联谊医院甲状腺外科

来源：

中国实用外科杂志 | 2010年 / 30卷 / 01期

关键词：

术中神经监测; 喉返神经; 甲状腺手术; 肌电图;

D O I：

暂无

中图分类号：

R653 [颈部外科学];

学科分类号：

1002 ; 100210 ;

摘要：

目的探讨应用术中神经监测技术(intra operative neuromonitoring,IONM),以减少复杂甲状腺手术喉返神经损伤。方法吉林大学中日联谊医院甲状腺外科2009年3～7月对132例复杂甲状腺手术病人,共186支高风险喉返神经行术中神经监测。在甲状腺切除前后分别探测迷走神经及喉返神经肌电信号。甲状腺手术前后常规检查声带活动度。结果除术前声带麻痹4例,余182支喉返神经均可在甲状腺切除后测得明显肌电信号,未发生缝合切口前神经肌电信号消失,提示神经电传导功能良好。精确检出非返性喉返神经2例。结论术中喉返神经监测使喉返神经显露更加便捷,更加确切,并可验证喉返神经功能完整性。在高风险、复杂甲状腺术中应用神经监测是降低喉返神经损伤率的一种重要辅助措施。

引用

页码：66 / 68

页数：3

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