| 术中喉返神经监测系统在甲状腺开放手术中的应用 |
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| 引用本文： | 韦伟,韩彬,李朋,于志强,何和平. 术中喉返神经监测系统在甲状腺开放手术中的应用[J]. 中国耳鼻咽喉头颈外科, 2010, 17(1): 23-25 |
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| 作者姓名： | 韦伟 韩彬 李朋 于志强 何和平 |
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| 作者单位： | 北京大学深圳医院甲状腺外科,广东,深圳,518036;北京大学深圳医院甲状腺外科,广东,深圳,518036;北京大学深圳医院甲状腺外科,广东,深圳,518036;北京大学深圳医院甲状腺外科,广东,深圳,518036;北京大学深圳医院甲状腺外科,广东,深圳,518036 |
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| 摘 要： | 目的总结使用喉返神经监测系统在甲状腺开放手术全过程中,对喉返神经的监测、保护,以及使用体会与注意事项。方法①21例患者中甲状腺恶性肿瘤5例、良性肿瘤9例,甲状腺功能亢进症7例。②喉返神经监测系统主要由监测仪主机、喉返神经刺激探测针、专用接触声带的肌电图（electromyography,EMG）气管插管、接地传导回路电极针、抗干扰探头等组成。③手术采用三步法,首先显露颈迷走神经干检测仪器,再解剖、保护喉返神经,之后切除甲状腺组织。结果全部21例患者,术侧喉返神经均清晰显示,从甲状腺下级血管至入喉处。术后患者发音清晰,无饮水呛咳。结论甲状腺开放手术中,应用＂喉返神经监测系统＂,可使喉返神经在手术全过程中得到切实保护,避免损伤发生。
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| 关 键 词： | 甲状腺切除术 喉返神经 创伤和损伤 监测 手术中 |
Application of intraoperative neuromonitoring system in thyroid gland surgery |
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| WEI Wei,HAN Bin,LI Peng,YU Zhiqiang,HE Heping. Application of intraoperative neuromonitoring system in thyroid gland surgery[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2010, 17(1): 23-25 |
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| Authors: | WEI Wei HAN Bin LI Peng YU Zhiqiang HE Heping |
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| Affiliation: | Department of Thyroid Surgery;Peking University Shenzhen Hospital;Shenzhen;Guangdong;518036;China |
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| Abstract: | OBJECTIVE To summarize the use of intraoperative neuromonitoring system for monitoring and protection of recurrent laryngeal nerve during thyroid surgery. METHODS There were 21 cases in this study, included 5 cases with thyroid cancer, 9 cases with thyroid benign tumor and 7cases with hyperthyroidism. Intraoperative neuromonitoring system includes the host monitor, stimulus detection pin of recurrent laryngeal nerve, special EMG endotracheal intubation tube which contacts vocal cord, grounding conductive ci... |
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| Keywords: | Thyroidectomy Recurrent Laryngeal Nerve Wounds and Injuries Monitoring Intraoperative |
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