喉返神经监测在甲状腺及甲状旁腺手术中的应用现状

发布时间：2018-04-17 18:19

本文选题：术中喉返神经监测 + 甲状腺　；参考：《首都医科大学学报》2017年04期

【摘要】：喉返神经损伤是甲状腺及甲状旁腺手术中不可忽视的合并症,其损伤可能导致声音嘶哑及呼吸困难,严重影响病人生活质量,甚至危及生命。术中喉返神经监测技术目前作为保护喉返神经的有效办法,经历了从有创电极到无创性气管插管表面电极的发展。目前,国际和国内均提出了喉返神经监测的标准化步骤,再发展到连续神经监测和标准化的喉上神经监测,为辨认神经和防止神经损伤提供了新的手段,同时对喉返神经损伤机制的探究也更加深入。术中喉返神经监测技术的应用,可以帮助手术医师更好地辨认喉返神经,从而降低神经损伤的风险;同时对手术方式的优化、是否采用分期手术以及年轻外科医生的成长方面,具有重要意义。
[Abstract]:Recurrent laryngeal nerve injury is an important complication in thyroid and parathyroid surgery, which may lead to hoarseness and dyspnea, seriously affect the quality of life of patients, and even endanger life.Intraoperative monitoring of recurrent laryngeal nerve is an effective method for protecting recurrent laryngeal nerve. It has experienced the development from invasive electrode to non-invasive surface electrode of tracheal intubation.At present, international and domestic standardization steps of recurrent laryngeal nerve monitoring have been put forward, and then developed to continuous nerve monitoring and standardized superior laryngeal nerve monitoring, which provides a new means for the identification of nerves and the prevention of nerve injury.At the same time, the mechanism of recurrent laryngeal nerve injury is further explored.The application of intraoperative recurrent laryngeal nerve monitoring technology can help surgeons better identify recurrent laryngeal nerve and reduce the risk of nerve injury.It is of great significance.
【作者单位】：首都医科大学宣武医院普外科;
【基金】：北京卫生系统高层次卫生技术人才学科带头人培养项目(2011-2-28)~~
【分类号】：R653

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