Jonas J
St. Marienkrankenhaus, Klinik für Allgemein-, Gefäss- und Visceralchirurgie, Frankfurt, Deutschland.
Zentralbl Chir. 2010 Jun;135(3):273-6. doi: 10.1055/s-0029-1224528. Epub 2009 Dec 15.
Intraoperative neuromonitoring allows the evaluation of the recurrent laryngeal nerve function only at the moment of stimulation. Continuous vagal stimulation checks the complete extra- and intrathoracic course of the recurrent laryngeal nerve during all phases of preparation. The continuously running neuromonitoring is not implemented in the practice of thyroid surgery so far. A newly developed vagal probe for continuous stimulation is introduced and tested in a series of 20 thyroid resections. This advancement in probe technique for intraoperative neuromonitoring allows safe and continuous verification of the recurrent laryngeal nerve function during surgical preparation and may be beneficial in anatomically difficult situations.
术中神经监测仅能在刺激时评估喉返神经功能。持续迷走神经刺激可在手术准备的所有阶段检查喉返神经在胸外和胸内的完整走行。目前甲状腺手术实践中尚未实施持续运行的神经监测。一种新开发的用于持续刺激的迷走神经探头被引入并在20例甲状腺切除术中进行了测试。术中神经监测探头技术的这一进展能够在手术准备期间安全、持续地验证喉返神经功能，并且在解剖结构复杂的情况下可能会有帮助。
