Çomçalı Bülent, Saylam Barış, Özdemir Buket Altun
Department of General Surgery, Ankara City Hospital, Ankara, Turkey.
Ann Surg Treat Res. 2022 Feb;102(2):83-89. doi: 10.4174/astr.2022.102.2.83. Epub 2022 Feb 4.
The aim of this study was to evaluate the effect of neuromonitoring on the number of lymph nodes (LNs) removed when applied during neck dissection.
A total of 166 patients receiving neck dissection due to papillary thyroid cancer were separated into 2 groups (monitoring group, n = 76; non-monitoring group, n = 90).
The number of LNs dissected was observed to be statistically significantly higher in the monitoring group (P = 0.001), and the difference between the groups in the number of positive LNs was significant (P = 0.031). There was seen to be a negative relationship between the number of positive LNs dissected and recurrence (r = -0.404, P = 0.005).
Intraoperative neuromonitoring during neck dissection makes a positive contribution to the prevention of the development of recurrence by increasing the number of LNs excised and the number of metastatic LNs.
本研究的目的是评估神经监测在颈部清扫术中应用时对切除淋巴结数量的影响。
共有166例因乳头状甲状腺癌接受颈部清扫术的患者被分为两组（监测组，n = 76；非监测组，n = 90）。
监测组清扫的淋巴结数量在统计学上显著更高（P = 0.001），且两组之间阳性淋巴结数量的差异显著（P = 0.031）。观察到清扫的阳性淋巴结数量与复发之间存在负相关（r = -0.404，P = 0.005）。
颈部清扫术中的术中神经监测通过增加切除的淋巴结数量和转移淋巴结数量，对预防复发的发生做出了积极贡献。
Zotero 插件
