甲状腺切除术期间的手术内神经监测不会降低声带的风险,但外科医生的累积经验可能会有所帮助
Hye Lim Bae1, Moon Young Oh2, Mira Han3
1Department of Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea.
Surgery today
|June 6, 2024
概括
术内神经监测 (IONM) 在甲状腺切除术后没有显著降低声带 (VCP) 率. 然而,外科医生的经验似乎会随着时间的推移降低VCP风险.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 神经外科 神经外科
背景情况:
- 甲状腺切除术是甲状腺癌的常见手术.
- 声带 (VCP) 是一个潜在的并发症.
- 术内神经监测 (IONM) 用于尽量减少神经损伤.
研究的目的:
- 评估IONM对风险投资者利率的影响.
- 评估甲状腺切除术后VCP的时间趋势.
主要方法:
- 对712名因甲状腺癌而接受甲状腺切除术的患者 (2014-2022) 的回顾性分析.
- 非IONM和IONM集团之间的风险投资者利率的比较.
- 对风险因素和VCP的时间趋势的分析.
主要成果:
- 在非IONM和IONM组之间,暂时或永久VCP率没有显著差异.
- 过渡性风险投资方:4.6% (非IONM) 与4.3% (IONM) 相比.
- 永久性VCP:0.7% (非IONM) 与0.4% (IONM) 相比.
- 随着时间的推移,观察到VCP率的显著下降趋势 (p=0.017).
结论:
- 在这项研究中,IONM没有显著降低VCP风险.
- 越来越多的外科医生经验可能与较低的VCP率有关.
- 进一步的研究可能会探索体验在VCP预防中的作用.
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