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国际神经监测研究组2018年指南第一部分:通过监测信号丢失进行双侧甲状腺手术分期

International neural monitoring study group guideline 2018 part I: Staging bilateral thyroid surgery with monitoring loss of signal.

作者信息

Schneider Rick, Randolph Gregory W, Dionigi Gianlorenzo, Wu Che-Wei, Barczynski Marcin, Chiang Feng-Yu, Al-Quaryshi Zaid, Angelos Peter, Brauckhoff Katrin, Cernea Claudio R, Chaplin John, Cheetham Jonathan, Davies Louise, Goretzki Peter E, Hartl Dana, Kamani Dipti, Kandil Emad, Kyriazidis Natalia, Liddy Whitney, Orloff Lisa, Scharpf Joseph, Serpell Jonathan, Shin Jennifer J, Sinclair Catherine F, Singer Michael C, Snyder Samuel K, Tolley Neil S, Van Slycke Sam, Volpi Erivelto, Witterick Ian, Wong Richard J, Woodson Gayle, Zafereo Mark, Dralle Henning

机构信息

Martin Luther University Halle-Wittenberg, Department of General, Visceral, and Vascular Surgery, Halle, Germany.

Division of Thyroid and Parathyroid Surgery, Department of Otolaryngology, Massachusetts Eye and Ear Harvard Medical School, Boston, Massachusetts.

出版信息

Laryngoscope. 2018 Oct;128 Suppl 3:S1-S17. doi: 10.1002/lary.27359. Epub 2018 Oct 5.

DOI:10.1002/lary.27359
PMID:30289983
Abstract

This publication offers modern, state-of-the-art International Neural Monitoring Study Group (INMSG) guidelines based on a detailed review of the recent monitoring literature. The guidelines outline evidence-based definitions of adverse electrophysiologic events, especially loss of signal, and their incorporation in surgical strategy. These recommendations are designed to reduce technique variations, enhance the quality of neural monitoring, and assist surgeons in the clinical decision-making process involved in surgical management of recurrent laryngeal nerve. The guidelines are published in conjunction with the INMSG Guidelines Part II, Optimal Recurrent Laryngeal Nerve Management for Invasive Thyroid Cancer-Incorporation of Surgical, Laryngeal, and Neural Electrophysiologic Data. Laryngoscope, 128:S1-S17, 2018.

摘要

本出版物基于对近期监测文献的详细综述,提供了现代的、最先进的国际神经监测研究组(INMSG)指南。这些指南概述了基于证据的不良电生理事件定义,特别是信号丢失,以及它们在手术策略中的应用。这些建议旨在减少技术差异,提高神经监测质量,并协助外科医生在喉返神经手术管理的临床决策过程中做出决策。这些指南与INMSG指南第二部分《侵袭性甲状腺癌的最佳喉返神经管理——手术、喉部和神经电生理数据的整合》同时发表。《喉镜》,2018年,第128卷:S1 - S17。

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Laryngoscope. 2018 Oct;128 Suppl 3:S1-S17. doi: 10.1002/lary.27359. Epub 2018 Oct 5.
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