喉返神经监测在复杂甲状腺手术中应用与研究.docVIP

喉返神经监测在复杂甲状腺手术中应用与研究 　　[摘要] 目的 喉返神经监测在复杂甲状腺手术中的应用与研究。 方法 选取佛山市顺德区乐从医院2014年6月～2017年3月共135例行复杂甲状腺手术患者作为研究对象，分为实验1组，实验2组和对照组各45例。实验组采取喉返神经监测联合肉眼识别保护，对照组仅采用肉眼识别保护，对比三组患者的检测结果。 结果 实验1组、2组患者识别时间低于对照组患者，差异有统计学意义（P0.05）。实验1组、实验2组喉返神经损伤优于对照组患者，差异有统计学意义（P0.05）。 结论 复杂甲状腺手术中喉返神经监测能使喉返神经更明?@，识别时间较短，术后并发症发生率低，值得在临床推广应用。 　　[关键词] 喉返神经监测；甲状腺；复杂甲状腺手术；应用；研究 　　[中图分类号] R653 [文献标识码] A [文章编号] 2095-0616（2017）12-156-03 　　The application and research of recurrent laryngeal nerve monitoring in complex thyroid surgery 　　WAN Yueming 　　Lecong Hospital of Shunde District of Foshan City，Foshan 528315，China 　　[Abstract] Objective To study the application of recurrent laryngeal nerve monitoring in complex thyroid surgery. Methods 135 cases with complex thyroid surgery from June 2014 to March 2017 in Foshan city Shunde District Hospital of Lecong were selected as the research objects，and all cases were divided into experimental group 1，experimental group 2 and control group，with 45 cases in each group.The experimental group adopted recurrent laryngeal nerve monitoring combined with naked eye protection，and the control group only used the naked eye protection.The test results of three groups were compared. Results Recognition time of the experimental group 1 and the experimental group 2 was lower than that of the control group，which showed significant difference （P0.05）；Recurrent laryngeal nerve injury rates of the experimental group 1 and experimental group 2 were lower than those of the control group， which showed significant difference （P0.05）. Conclusion The monitoring of recurrent laryngeal nerve in complex thyroid surgery can make recurrent laryngeal nerve more obvious，shorten the recognition time，and reduce the incidence of postoperative complications，worthy of clinical application. 　　[Key words] Recurrent laryngeal nerve monitoring；Thyroid；Thyroid surgery；Application；Research 　　随着医学技术的不断发展，甲状腺微小癌检出率的提升，甲状腺全切手术在临床中应用越来越广，也有大量研究人员开始关注喉返神经的重要性[1]。患者经过甲状腺手术后，常出现各类并发症[2]，喉返神经损伤是其中较常见，也是较为