中国癌症杂志 ›› 2017, Vol. 27 ›› Issue (6): 432-436.doi: 10.19401/j.cnki.1007-3639.2017.06.006

• 专家述评与论著 • 上一篇    下一篇

甲状腺癌手术中喉返神经监测的临床应用

王 宇,杨舒雯,李端树   

  1. 复旦大学附属肿瘤医院头颈外科,复旦大学上海医学院肿瘤学系,上海 200032
  • 出版日期:2017-06-30 发布日期:2017-07-26
  • 通信作者: 王 宇 E-mail: neck130@hotmail.com
  • 基金资助:
    上海市科委西医引导项目(14411962402,16411966700);上海市卫计委面上项目(201640147);上海申康适宜技术联合开发推广应用项目(SHDC12016208)。

Clinical application of laryngeal nerve monitoring in thyroid cancer surgery

WANG Yu, YANG Shuwen, LI Duanshu   

  1. Department of Head and Neck Surgery, Fudan University Shanghai Cancer Center; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
  • Published:2017-06-30 Online:2017-07-26
  • Contact: WANG Yu E-mail: neck130@hotmail.com

摘要: 近年来,随着甲状腺癌日趋增多,其主要手术风险喉返神经损伤受到了越来越多的重视。而术中神经监测(intraoperative neural monitoring,IONM)这一项在国外已经普及的技术,在国内的使用也逐渐成熟。该文结合临床实践对IONM的原理、操作、应用及优缺点进行讨论。

关键词: 甲状腺癌, 喉返神经损伤, 术中神经监测

Abstract: Recurrent laryngeal nerve palsy is one of the most serious complications associated with thyroid cancer surgery. This study aimed to assess the efficacy of intraoperative neural monitoring (IONM) in preventing recurrent laryngeal nerve palsy during thyroid cancer surgery, analyze and elaborate the theory, operation standard, application, benefits and disadvantage based on clinical practice.

Key words: Thyroid cancer surgery, Recurrent laryngeal nerve palsy, Intraoperative neural monitoring