在甲状腺切除术期间的EBSLN监测中,甲状腺软骨针与内管电极对比
Can Uc1, Yigit Turk2, Murat Ozdemir2
1General Surgery Department, Izmir Democracy University Buca Seyfi Demirsoy Education and Research Hospital, Izmir, Turkey.
Updates in surgery
|September 5, 2024
概括
针头电极 (NE) 是对内管电极 (ETE) 的安全有效替代品,用于在甲状腺切除术期间监测上喉神经 (EBSLN) 的外部分支,从而产生更高的信号幅度.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术神经监测手术神经监测
- 甲状腺手术 甲状腺手术
背景情况:
- 甲状腺切除术需要对上喉神经 (EBSLN) 的外部分支进行神经监测,以防止声带损伤.
- 内膜管电极 (ETE) 是常用的,但可能有不理想的接触,阻碍了电肌图信号的获取.
- 针式电极 (NE) 是一个潜在的替代品,但对EBSLN监测缺乏比较数据.
研究的目的:
- 为了比较针头电极 (NE) 与内管电极 (ETE) 的疗效和安全性,用于在全甲状腺切除术期间对EBSLN的手术内神经监测.
主要方法:
- 一项前性研究涉及26名接受全甲状腺切除术的患者.
- 同时使用NE和ETE对EBSLN进行神经监测.
- 在NE和ETE组之间记录和比较切割前 (V1,R1,S1) 和切割后 (V2,R2,S2) 幅度和延迟.
- 使用曼-惠特尼U测试进行统计分析.
主要成果:
- 与内管电极 (ETE) 相比,针头电极 (NE) 在大多数记录的参数 (例如,右S1,右S2,左S1,左S2) 中的平均幅度在统计学上更高.
- 在任何患者中都没有观察到信号损失或声带的情况.
- 没有发生与注射针相关的并发症,这表明NE的安全性概况有利.
结论:
- 针头电极 (NE) 是用于甲状腺切除术期间EBSLN监测的内管电极 (ETE) 的安全有效替代品.
- NE提供优越的信号幅度,可能提高神经监测的可靠性.
- 这项研究支持使用NE作为甲状腺手术中一种有价值的工具,以保护喉神经功能.
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