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中华腔镜外科杂志(电子版) ›› 2017, Vol. 10 ›› Issue (02): 122 -125. doi: 10.3877/cma.j.issn.1674-6899.2017.02.016

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术中神经监测技术在腔镜甲状腺手术中的应用及进展
张姣 1, 张大奇 1, 孙辉 1 , ( )   
  1. 1. 130033 长春,吉林大学中日联谊医院甲状腺外科 吉林省外科转化医学重点实验室 吉林省甲状腺疾病防治工程实验室
  • 收稿日期:2017-02-24 出版日期:2017-04-30
  • 通信作者: 孙辉

Application and progress of intraoperative neuromonitoring technology in endoscopic thyroidectomy

Jiao Zhang 1, Daqi Zhang 1, Hui Sun 1 , ( )   

  1. 1. Department of Thyroid Surgery, China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Surgical Translational Medicine, Jilin Provincial Engineering Laboratory of Thyroid Disease Prevention and Control, Changchun 130033, China
  • Received:2017-02-24 Published:2017-04-30
  • Corresponding author: Hui Sun
  • About author:
    Corresponding author: Sun Hui, Email:

近年来,腔镜甲状腺手术以其美容的优势逐渐成为大多数甲状腺患者的首选术式,但由于腔镜甲状腺手术操作空间小、无法获得触感及不同入路中喉返神经(recurrent laryngeal nerve, RLN)走行的观察视角不同等原因,常规方法保护RLN难度较大,应用术中神经监测技术(intraoperative neuromonitoring, IONM)既可实时报警风险操作,又可发现RLN的损伤机制,有效降低RLN损伤率。IONM的重要性日益凸显且随着相关神经监测新技术的不断兴起,腔镜甲状腺手术将逐步趋于完善。笔者结合国内外报道就腔镜甲状腺手术中IONM的应用进展作一综述。

Recently, endoscopic thyroidectomy has become the optimal choice for its cosmetic benefits to patients. Howerver, endoscopic thyroidectomy has narrow space, no way to get touched, different approaches having different observed views. So protecting recurrent laryngeal nerve (RLN) routinely is nowhere near enough. The application of intraoperative neuromonitoring (IONM) could help us not only avoiding hazardous operations but also monitoring the mechanism of impairing to reduce the lesion rates. IONM has turned into prominent increasingly, and with the constant emergence of new technologies, endoscopic thyroidectomy will tend to be perfect gradually. The paper addresses the application and progress of IONM in endoscopic thyroidectomy with literatures at home and aboard.

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