喉返神经监测仪在复杂甲状腺手术中的应用效果

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Abstract [Abstract]Objective To explore the application effect of recurrent laryngeal nerve monitor in complicated thyroid surgery.Methods A retrospective analysis was made of 102 cases of complicated thyroid surgery case information in our hospital from January 2014 to February 2018,according to whether or not the recurrent laryngeal nerve monitor was used to expose the recurrent laryngeal nerve during operation,the patients were divided into intraoperative nerve monitoring(IONM)group(48 cases)and non-IONM group(54 cases),the injury rate was calculated according to the number of recurrent laryngeal nerves involved in the operation,the rate of recurrent laryngeal nerve injury,operation time,exposure time of recurrent laryngeal nerve,amount of bleeding during operation,total cost of hospitalization and anesthesia time were compared between the two groups.Results After intervention with recurrent laryngeal nerve(RLN)monitor,the rate of temporary RLN injury in IONM group was lower than that in non-IONM group,the difference was significant(P<0.05).There was no recurrent laryngeal nerve injury in both group.The operation time and exposure time of RLN in IONM group were shorter than that in non-IONM group,the amount of bleeding during operation was less than that in non-IONM group,and the hospitalization cost was higher than that in non-IONM group,the difference was statistically significant(P<0.05).There was no significant difference in anesthesia time between the two groups(P>0.05).Conclusion Recurrent laryngeal nerve monitor can reduce the rate of temporary recurrent laryngeal nerve injury in complicated thyroid surgery,especially in reoperation,it can effectively shorten the operation time,the exposure time of recurrent laryngeal nerve and reduce the amount of bleeding.It is worth popularizing.

Key words： Complicated thyroid surgery Recurrent laryngeal nerve Laryngeal recurrent nerve monitor Recurrent laryngeal nerve injury

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2019/V26/I7/42

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