術(shù)中連續(xù)神經(jīng)監(jiān)測(cè)用于26例高風(fēng)險(xiǎn)甲狀腺手術(shù)療效觀察
發(fā)布時(shí)間:2018-05-13 18:35
本文選題:術(shù)中連續(xù)神經(jīng)監(jiān)測(cè) + 喉返神經(jīng); 參考:《中國(guó)實(shí)用外科雜志》2017年04期
【摘要】:正喉返神經(jīng)損傷是甲狀腺手術(shù)最常見的并發(fā)癥之一,隨著常規(guī)暴露喉返神經(jīng)等手術(shù)技巧和各種輔助器械的發(fā)展,喉返神經(jīng)損傷的風(fēng)險(xiǎn)明顯下降,國(guó)內(nèi)大型甲狀腺疾病治療中心可將其發(fā)生率控制在1%左右[1],但在腫瘤侵犯鄰近組織器官的甲狀腺癌、巨大甲狀腺腫瘤和再次手術(shù)等高風(fēng)險(xiǎn)甲狀腺手術(shù)中喉返神經(jīng)損傷發(fā)生率仍較高[2]。本研究將術(shù)中連續(xù)神經(jīng)監(jiān)測(cè)(continuous intraoperative neuromonitoring,
[Abstract]:Positive recurrent laryngeal nerve injury is one of the most common complications in thyroid surgery. With the development of conventional surgical techniques and auxiliary devices, the risk of recurrent laryngeal nerve injury decreases significantly. Large domestic treatment centers for thyroid diseases can control their incidence to about 1% [1], but in cases where the tumor invades adjacent tissues and organs, The incidence of recurrent laryngeal nerve injury in high risk thyroid surgery such as giant thyroid neoplasms and reoperation is still high [2]. In this study, continuous intraoperative neuromonitoring was performed.
【作者單位】: 北京大學(xué)醫(yī)學(xué)部;北京大學(xué)深圳醫(yī)院甲狀腺外科;
【分類號(hào)】:R653
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