Departamento de Cirugía General y del Aparato Digestivo, Hospital Son Espases, Palma de Mallorca, España.
Cir Cir. 2020;88(6):703-707. doi: 10.24875/CIRU.19001531.
Intermittent intraoperative neuromonitoring of the recurrent laryngeal nerve is the ideal complement in thyroid surgeries, decreasing thyroid injuries.
To analyze the prevalence of recurrent laryngeal nerve injuries with the use and without the use of neuromonitoring in thyroid surgery.
Observational, descriptive and retrospective study, in which a total of 571 patients were included between the years 2012-2018. Of which 180 neuromonitoring was used and 391 were not used.
Of the 180 patients who underwent total thyroidectomy with the use of neuromonitoring, we had a total of 8 (4.4%) transient paralysis and 2 (1.1%) definitive. Without the use of neuromonitoring we obtain 12 (3%) transient paralysis and 7 (1.85%) definitive.
We believe that the use of neuromonitoring complementary to surgery should be used routinely to the usual technique. And we also obtain significant results regarding the reduction of recurrent laryngeal nerve injuries with the use of intraoperative neuromonitoring.
在甲状腺手术中，间歇性术中喉返神经监测是理想的补充手段，可以降低甲状腺损伤。
分析在甲状腺手术中使用和不使用神经监测时喉返神经损伤的发生率。
观察性、描述性和回顾性研究，共纳入 2012 年至 2018 年间的 571 例患者。其中 180 例使用了神经监测，391 例未使用。
在 180 例行全甲状腺切除术并使用神经监测的患者中，共有 8 例（4.4%）出现暂时性麻痹，2 例（1.1%）出现永久性麻痹。未使用神经监测的患者中，有 12 例（3%）出现暂时性麻痹，7 例（1.85%）出现永久性麻痹。
我们认为，神经监测作为手术的辅助手段应常规应用于常规技术。而且，我们还通过术中神经监测获得了显著降低喉返神经损伤的结果。
