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在甲状腺手术中神经监测的艺术状态

Eleonora Lori¹, Federico Cappellacci², Fabio Medas³

¹Department of Surgery, Sapienza University, Rome, Italy.

Minerva surgery

|November 29, 2024

概括

术内神经监测 (IONM) 有助于在甲状腺切除术期间保护复发性喉神经 (RLN),减少声带. 虽然对其在单边损伤中的作用有争议,但IONM显著降低了双边RLN损伤率.

科学领域:

内分泌手术内分泌手术
神经外科神经外科
外科手术的安全性

背景情况:

甲状腺切除术是治疗甲状腺疾病的常见内分泌手术.
重复性喉神经 (RLN) 损伤是一种严重的并发症,可能导致声带.
在甲状腺切除术期间,精细的神经剖析对于RLN的保存至关重要.

研究的目的:

审查关于在甲状腺手术中使用手术内神经监测 (IONM) 的当前文献.
强调IONM在评估RLN完整性和减少手术并发症方面的作用.
评估IONM对声带率的影响.

主要方法:

在甲状腺手术中对IONM现有的文献进行系统审查.
分析不同IONM技术,包括间歇和持续监测.
评估报告关于带有和没有IONM的RLN损伤率的研究.

主要成果:

IONM是视觉神经识别的宝贵补充,用于RLN的保存.
在手术期间评估神经功能时,IONM技术具有明显的好处.
整合IONM数据的协议已经明显减少了双边RLN损伤的发生率.

结论:

在甲状腺手术中,IONM 增强了经常性的喉神经完整性评估.
IONM有助于减少声带,这是甲状腺切除术的主要并发症.
需要进一步的研究来解决结果的变化和优化IONM应用时间.

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