本文關(guān)鍵詞： 甲狀腺 喉返神經(jīng) 喉上神經(jīng) 術(shù)中神經(jīng)監(jiān)測(cè) 綜述　出處：《河北醫(yī)科大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：喉返神經(jīng)(Recurrent Laryngeal Nerve,RLN)及喉上神經(jīng)外支(External Branch of the Superior Laryngeal Nerve,EBSLN)與甲狀腺及甲狀旁腺關(guān)系密切,在甲狀腺及甲狀旁腺手術(shù)中容易損傷。喉返神經(jīng)損傷是甲狀腺手術(shù)最常見的并發(fā)癥之一,單側(cè)喉返神經(jīng)損傷導(dǎo)致聲音嘶啞,雙側(cè)喉返神經(jīng)損傷導(dǎo)致呼吸困難,從而嚴(yán)重影響患者生活;喉上神經(jīng)外支的損傷影響患者音質(zhì)、音色及高音部分的發(fā)聲。術(shù)中神經(jīng)監(jiān)測(cè)(Intraoperative neuro monitoring,IONM)是應(yīng)用電生理技術(shù)監(jiān)測(cè)術(shù)中神經(jīng)功能完整性的一種技術(shù),可用于尋找喉返神經(jīng)及喉上神經(jīng)外支并對(duì)其功能進(jìn)行評(píng)估。本文就有關(guān)喉返神經(jīng)及喉上神經(jīng)IONM在甲狀腺及甲狀旁腺手術(shù)中的應(yīng)用與進(jìn)展進(jìn)行綜述。
[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.

【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R653

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