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用于围手术期识别和喉返神经功能测试的喉内装置。

Endolaryngeal devices for perioperative identification and functional testing of the recurrent nerve.

作者信息

Hvidegaard T, Vase P, Dalsgaard S C, Jørgensen K

出版信息

Otolaryngol Head Neck Surg. 1984 Jun;92(3):292-4. doi: 10.1177/019459988409200308.

DOI:10.1177/019459988409200308
PMID:6431367
Abstract

It has previously been shown that identification of the recurrent laryngeal nerves reduces the risk of injury to the nerves during thyroid surgery. To facilitate identification and to test the conductivity of the recurrent nerves we have used electrical stimulation of the nerves and simultaneous recording of the vocal cord movements with two different endolaryngeal devices. The experience gained with these devices indicates that it is possible to reduce the frequency of injury to the nerves, and the method accelerates the progress of the operation, especially in cancer surgery and repeat operations.

摘要

此前已有研究表明,识别喉返神经可降低甲状腺手术中神经损伤的风险。为便于识别并测试喉返神经的传导性,我们使用了神经电刺激,并通过两种不同的喉内装置同步记录声带运动。使用这些装置所积累的经验表明,降低神经损伤频率是可行的,而且该方法可加快手术进程,尤其是在癌症手术和再次手术中。

相似文献

1
Endolaryngeal devices for perioperative identification and functional testing of the recurrent nerve.用于围手术期识别和喉返神经功能测试的喉内装置。
Otolaryngol Head Neck Surg. 1984 Jun;92(3):292-4. doi: 10.1177/019459988409200308.
2
Identification and functional recording of the recurrent nerve by electrical stimulation during neck surgery.颈部手术中通过电刺激识别并功能性记录喉返神经
Laryngoscope. 1983 Mar;93(3):370-3. doi: 10.1288/00005537-198303000-00024.
3
Identification of the motor laryngeal nerves - a new electrical stimulation technique.喉运动神经的识别——一种新的电刺激技术。
Laryngoscope. 1981 Nov;91(11):1865-8. doi: 10.1288/00005537-198111000-00011.
4
[Prevention of recurrent laryngeal nerve paralysis by demonstration of the nerve during thyroid surgery].[甲状腺手术中显露喉返神经预防喉返神经麻痹]
Laryngorhinootologie. 2005 Apr;84(4):261-5. doi: 10.1055/s-2004-826073.
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Intraoperative measurement of the elastic modulus of the vocal fold. Part 1. Device development.
Laryngoscope. 1992 Jul;102(7):760-9. doi: 10.1288/00005537-199207000-00005.
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Should we routinely expose recurrent laryngeal nerve(s) during thyroid surgery?在甲状腺手术中,我们是否应该常规暴露喉返神经?
J Coll Physicians Surg Pak. 2013 Mar;23(3):186-9.
7
Does recurrent laryngeal nerve stimulation at 30 Hz produce vocal cord abduction?30赫兹的喉返神经刺激会引起声带外展吗?
Otolaryngol Head Neck Surg. 1988 Mar;98(3):266-7. doi: 10.1177/019459988809800318.
8
Repair of the recurrent laryngeal nerve.喉返神经修复术
Otolaryngol Clin North Am. 1990 Jun;23(3):553-63.
9
Electrical stimulation of the human recurrent laryngeal nerve during thyroid operation.甲状腺手术期间对人喉返神经进行电刺激。
Acta Otolaryngol Suppl. 1969;263:63-7. doi: 10.3109/00016487009131523.
10
Recurrent laryngeal nerve injury following thyroid operations.甲状腺手术后的喉返神经损伤
Surg Gynecol Obstet. 1977 Apr;144(4):567-70.

引用本文的文献

1
Neuromonitoring of the laryngeal nerves in thyroid surgery: a critical appraisal of the literature.甲状腺手术中的喉返神经监测:文献回顾性评价。
Eur Arch Otorhinolaryngol. 2013 Sep;270(9):2383-95. doi: 10.1007/s00405-013-2558-1. Epub 2013 May 18.
2
Use of a single bipolar electrode in the posterior arytenoid muscles for bilateral monitoring of the recurrent laryngeal nerves in thyroid surgery.
Eur Arch Otorhinolaryngol. 2008 Dec;265(12):1549-52. doi: 10.1007/s00405-008-0671-3. Epub 2008 Apr 16.
3
Intraoperative monitoring of the recurrent laryngeal nerve in thyroid surgery.甲状腺手术中喉返神经的术中监测
World J Surg. 2008 Jul;32(7):1358-66. doi: 10.1007/s00268-008-9483-2.
4
Intraoperative monitoring of lower cranial nerves in skull base surgery: technical report and review of 123 monitored cases.颅底手术中颅神经的术中监测:技术报告及123例监测病例回顾
Neurosurg Rev. 2008 Jan;31(1):45-53. doi: 10.1007/s10143-007-0105-5. Epub 2007 Oct 24.
5
Comparison of endotracheal tube and hookwire electrodes for monitoring the vagus nerve.用于监测迷走神经的气管插管电极与钩线电极的比较。
J Clin Monit Comput. 2002 Apr-May;17(3-4):217-20. doi: 10.1023/a:1020729832385.