神经监测技术在甲状腺及甲状旁腺手术中的应用

发布时间：2018-03-02 10:51

本文关键词： 甲状腺喉返神经喉上神经术中神经监测综述　出处：《河北医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：喉返神经(Recurrent Laryngeal Nerve,RLN)及喉上神经外支(External Branch of the Superior Laryngeal Nerve,EBSLN)与甲状腺及甲状旁腺关系密切,在甲状腺及甲状旁腺手术中容易损伤。喉返神经损伤是甲状腺手术最常见的并发症之一,单侧喉返神经损伤导致声音嘶哑,双侧喉返神经损伤导致呼吸困难,从而严重影响患者生活;喉上神经外支的损伤影响患者音质、音色及高音部分的发声。术中神经监测(Intraoperative neuro monitoring,IONM)是应用电生理技术监测术中神经功能完整性的一种技术,可用于寻找喉返神经及喉上神经外支并对其功能进行评估。本文就有关喉返神经及喉上神经IONM在甲状腺及甲状旁腺手术中的应用与进展进行综述。
[Abstract]:The recurrent laryngeal nerve (Recurrent Laryngeal, Nerve, RLN) and the EBSLN (External Branch of the Superior Laryngeal Nerve, EBSLN) and the relationship between the thyroid and parathyroid closely, easy to damage in thyroid and parathyroid surgery. The recurrent laryngeal nerve injury is one of the most common complications of thyroid surgery, unilateral laryngeal recurrent nerve cause hoarseness laryngeal injury, bilateral recurrent nerve injury causing difficulty in breathing, which seriously affects the patient life; the external laryngeal nerve injury patients with vocal tone, timbre and treble. Intraoperative nerve monitoring (Intraoperative neuro monitoring, IONM) is a kind of technology of the functional integrity of the application of neural electrophysiological technique and intraoperative monitoring, can looking for recurrent laryngeal nerve and the external laryngeal nerve and its function were evaluated. The recurrent laryngeal nerve and superior laryngeal nerve in the thyroid and parathyroid hand IONM The application and progress of the operation are reviewed.

【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R653

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