在接受甲状腺手术的患者中检测复发性喉神经麻的技术:珍珠和陷
Geetanjali Tolia Chilkoti1, Anju Gupta2, Pallav Bhandari1
1Department of Anesthesiology and Critical Care, University College of Medical Sciences and Guru Teg Bahadur Hospital, Shahdara, Delhi, India.
Journal of anaesthesiology, clinical pharmacology
|June 26, 2024
概括
甲状腺切除术可能会导致声带,原因是喉神经经常受到损伤. 本综述涵盖了预防和检测这种可怕并发症的方法.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
背景情况:
- 喉神经复发性 (RLN) 是甲状腺切除术后的一种罕见但严重的并发症.
- 它可以导致显著的术后发病率,包括语音变化和呼吸困难.
- 预防和早期发现RLN损伤对于患者的治疗结果至关重要.
研究的目的:
- 审查关于在甲状腺切除术期间预防复发性喉神经 (RLN) 的方法的临床证据.
- 讨论早期检测RLN损伤和随后的声带功能障碍的各种技术.
- 为管理这种可怕的并发症提供当前策略的全面概述.
主要方法:
- 现有文献的叙述性审查.
- 对集中于手术中神经监测技术的研究进行分析.
- 评估直接和间接的方法,以评估声带移动性脱口术后.
主要成果:
- 存在各种预防措施和检测方法,包括直接可视化和手术内神经监测.
- 声带移动性的输出后评估对于早期诊断至关重要.
- 虽然RLN损伤很少发生,但其影响需要谨慎的手术技术和警的监测.
结论:
- 积极的策略至关重要,以最大限度地降低在甲状腺切除术期间重复性喉神经 (RLN) 损伤的风险.
- 术后警和术后评估的结合有助于早期发现和管理RLN.
- 对最佳预防和检测方法的持续研究是有必要的,以提高患者的安全.
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