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喉返神经监测:最新进展、伦理与法律问题

Recurrent laryngeal nerve monitoring: state of the art, ethical and legal issues.

作者信息

Angelos Peter

机构信息

Section of General Surgery and Surgical Oncology, MacLean Center for Clinical Medical Ethics, University of Chicago, Chicago, IL 60637, USA.

出版信息

Surg Clin North Am. 2009 Oct;89(5):1157-69. doi: 10.1016/j.suc.2009.06.010.

DOI:10.1016/j.suc.2009.06.010
PMID:19836490
Abstract

Despite many advances in surgical techniques during the last several decades, the risk for recurrent laryngeal nerve (RLN) injury during thyroid and parathyroid surgery has only declined, not disappeared. RLN monitoring is an attempt to reduce the risk of nerve injury during thyroid and parathyroid surgery. In this article, the author discusses how to use RLN monitoring, its effectiveness, and the options available. He also highlights potential legal and ethical issues that surround the use of this method.

摘要

尽管在过去几十年里手术技术有了许多进步,但甲状腺和甲状旁腺手术中喉返神经(RLN)损伤的风险只是有所下降,并未消除。喉返神经监测旨在降低甲状腺和甲状旁腺手术中神经损伤的风险。在本文中,作者讨论了如何使用喉返神经监测、其有效性以及可用的选项。他还强调了围绕这种方法使用的潜在法律和伦理问题。

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