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人类测量测量,循环喉神经直径,电肌图学反应和声带风险

Bo Wang^1,2, Amr H Abdelhamid Ahmed¹, Anthony Y Cheung¹

¹Division of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, Massachusetts, USA.

|July 4, 2025

概括

人类测量因素与复发性喉神经 (RLN) 直径相关,但薄神经没有显示出显著的基线电肌图 (EMG) 差异. 该研究没有发现薄或分支的RLN是由于零不良事件而造成伤害的风险因素.

科学领域:

神经外科神经外科
人体解剖学解剖学解剖学
电子生理学电子生理学

背景情况:

在甲状腺和部手术期间,喉神经 (RLN) 重复损伤是危险的.
在手术期间神经监测 (IONM) 对于预防RLN损伤至关重要.
了解影响RLN直径和受伤风险的因素对于手术安全至关重要.

研究的目的:

为了研究人体测量测量和RLN直径之间的关联.
为了比较薄与厚的RLN的基线电肌图学 (EMG) 特性.
评估薄或分支的RLN形态是否会增加EMG不良事件,信号损失 (LOS) 或声带/ (VCP) 的风险.

主要方法:

展望性研究收集人体测量数据 (体重,身高,BMI,子周长,肩膀直径,手指周长).
测量RLN直径,细神经定义为≤1.5毫米.
在IONM期间记录的基线EMG特征和不良事件 (LOS,VCP).

主要成果:

多种人类学因素 (例如女性性别,较低的BMI,身高,子周长) 与较小的RLN直径 (p <0.05) 有关.
在薄型和厚型RLN之间没有发现基线EMG特征的显著差异,除了右侧RLN的R2延迟.
观察到零个LOS或VCP病例,分支神经中的运动纤维位于前分支.

结论:

人类测量测量与RLN直径相关.
RLN直径对大多数基线EMG特征没有显著影响.
这项研究没有任何不良事件,没有能力证实薄或分支形态作为RLN损伤的独立风险因素在IONM的高体积内分泌手术中.

关键词:

人类测量法人类测量法它们的直径直径直径直径直径.在手术期间进行神经监测.经常出现的喉神经.甲状腺手术甲状腺手术声带麻声带麻

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