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[甲状腺手术中喉返神经术中神经监测的研究进展]

[Study progress of intraoperative neuro-monitoring of recurrent laryngeal nerve in thyroidectomy].

作者信息

Pei M W, Chen W B, Hu M R

机构信息

Department of Thyroid and Breast Surgery, Affiliated Hospital of Hangzhou Normal University, 310015 Hangzhou, China.

出版信息

Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Jun 7;53(6):474-478. doi: 10.3760/cma.j.issn.1673-0860.2018.06.021.

DOI:10.3760/cma.j.issn.1673-0860.2018.06.021
PMID:29902860
Abstract

Recurrent laryngeal nerve (RLN) injury is a serious complication of thyroidectomy. Intraoperative neuro-monitoring(IONM) is a technology for identifying the integrity of nerves during operation by electrophysiological means, which included the intermitted IONM and the continuous IONM.This paper aims to compare the superiorities and defects of both IONM methods and summarize the current state and progress of IONM.

摘要

喉返神经(RLN)损伤是甲状腺切除术的严重并发症。术中神经监测(IONM)是一种通过电生理手段在手术过程中识别神经完整性的技术,包括间歇性IONM和连续性IONM。本文旨在比较两种IONM方法的优缺点,并总结IONM的现状和进展。

相似文献

1
[Study progress of intraoperative neuro-monitoring of recurrent laryngeal nerve in thyroidectomy].[甲状腺手术中喉返神经术中神经监测的研究进展]
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2018 Jun 7;53(6):474-478. doi: 10.3760/cma.j.issn.1673-0860.2018.06.021.
2
Systematic review with meta-analysis of studies comparing intraoperative neuromonitoring of recurrent laryngeal nerves versus visualization alone during thyroidectomy.系统评价和荟萃分析比较甲状腺切除术时喉返神经术中神经监测与单独可视化的研究。
J Surg Res. 2014 May 1;188(1):152-61. doi: 10.1016/j.jss.2013.12.022. Epub 2013 Dec 25.
3
Protective Effects of Intraoperative Nerve Monitoring (IONM) for Recurrent Laryngeal Nerve Injury in Thyroidectomy: Meta-analysis.术中神经监测(IONM)在甲状腺切除术中预防喉返神经损伤的保护作用:Meta 分析。
Sci Rep. 2018 May 17;8(1):7761. doi: 10.1038/s41598-018-26219-5.
4
Intraoperative nerve monitoring is associated with a lower risk of recurrent laryngeal nerve injury: A national analysis of 17,610 patients.术中神经监测与降低喉返神经损伤复发风险相关:一项涉及 17610 例患者的全国性分析。
Am J Surg. 2021 Feb;221(2):472-477. doi: 10.1016/j.amjsurg.2020.10.013. Epub 2020 Oct 16.
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Recurrent laryngeal nerve management in thyroid surgery: consequences of routine visualization, application of intermittent, standardized and continuous nerve monitoring.甲状腺手术中喉返神经的处理:常规可视化、间歇性、标准化及连续神经监测的应用后果
Updates Surg. 2016 Dec;68(4):331-341. doi: 10.1007/s13304-016-0393-9. Epub 2016 Sep 20.
6
Prospective evaluation of the utility of routine neuromonitoring for an established thyroid surgical practice.对既定甲状腺手术实践中常规神经监测效用的前瞻性评估。
ANZ J Surg. 2017 Oct;87(10):E138-E142. doi: 10.1111/ans.13606. Epub 2016 Apr 18.
7
Clinical value of intraoperative neuromonitoring of the recurrent laryngeal nerves in improving outcomes of surgery for well-differentiated thyroid cancer.喉返神经术中神经监测在改善高分化甲状腺癌手术结局中的临床价值
Pol Przegl Chir. 2011 Apr;83(4):196-203. doi: 10.2478/v10035-011-0030-8.
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Association Between Recurrent Laryngeal Nerve Calibre and Body Figure: A Preoperative Tool to Assess Thin-Diameter Nerves in Thyroidectomy.喉返神经直径与体型的相关性:甲状腺切除术评估细径神经的术前工具。
World J Surg. 2020 Sep;44(9):3036-3042. doi: 10.1007/s00268-020-05549-4.
9
The current state of intermittent intraoperative neural monitoring for prevention of recurrent laryngeal nerve injury during thyroidectomy: a PRISMA-compliant systematic review of overlapping meta-analyses.甲状腺切除术中预防喉返神经损伤的间歇性术中神经监测现状:一项符合PRISMA标准的重叠荟萃分析的系统评价
Langenbecks Arch Surg. 2017 Jun;402(4):663-673. doi: 10.1007/s00423-017-1580-y. Epub 2017 Apr 4.
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Varied Recurrent Laryngeal Nerve Course Is Associated with Increased Risk of Nerve Dysfunction During Thyroidectomy: Results of the Surgical Anatomy of the Recurrent Laryngeal Nerve in Thyroid Surgery Study, an International Multicenter Prospective Anatomic and Electrophysiologic Study of 1000 Monitored Nerves at Risk from the International Neural Monitoring Study Group.喉返神经走行多变与甲状腺切除术中神经功能障碍风险增加相关:甲状腺手术中喉返神经的外科解剖学研究结果,一项由国际神经监测研究小组对1000条有风险的神经进行监测的国际多中心前瞻性解剖学和电生理学研究。
Thyroid. 2021 Nov;31(11):1730-1740. doi: 10.1089/thy.2021.0155.

引用本文的文献

1
Effect of gasless endoscopic thyroidectomy through an axillary approach on the recurrent laryngeal nerve injury in patients with thyroid cancer.经腋窝入路免气腹内镜甲状腺切除术对甲状腺癌患者喉返神经损伤的影响
Am J Transl Res. 2022 Oct 15;14(10):7512-7519. eCollection 2022.