在胸腔镜肺切除中迷走神经管理策略的进展:叙述性综述
Hongjin Ni1,2, Yongjie Li1,3, Gang Shen4
1Department of Anesthesiology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China.
Journal of thoracic disease
|August 14, 2025
概括
在肺部手术期间管理迷走神经 (VN) 是关键. 保存VN分支和使用神经监测可以减少咳,并改善胸腔镜肺切除后的恢复.
科学领域:
- 胸部外科手术 胸部外科手术
- 神经外科 神经外科
- 肺部病理学 肺部病理学
背景情况:
- 迷走神经 (VN) 对于呼吸,心血管和消化功能至关重要.
- 在胸腔镜肺切除期间有效管理VN对于最大限度地减少术后并发症,如咳和心律失常至关重要.
研究的目的:
- 为了审查迷走神经 (VN) 管理策略的进展,用于胸腔镜肺切除.
- 评估这些策略对手术结果和患者康复的影响.
主要方法:
- 在PubMed,CNKI和谷歌学者 (2010-2025) 的综合文献搜索.
- 包含了关于胸腔镜肺部手术中VN管理的原始英语/中文文章.
- 不包括动物研究,病例报告和非同行评审的出版物.
主要成果:
- 迷走神经 (VN) 分支的保存可以显著减少术后咳,并有助于恢复.
- 在手术期间的神经监测可以提高手术过程的安全性和减少并发症.
- 阴道神经 (VN) 阻断在非输入式手术中有利于抑制咳和患者舒适.
结论:
- 在胸腔镜肺切除中最优的迷走神经 (VN) 管理策略需要进一步的研究.
- 未来的研究应该阐明机制,并建立基于证据的指导方针,以改善外科安全和恢复.
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