甲状腺手术中喉返神经保护方法综述

Methods of protecting recurrent laryngeal nerve in thyroidectomy

喉返神经损伤是甲状腺手术最常见的并发症,其与喉返神经解剖结构的多样性、术中操作、能量器械的使用等因素密切相关。随着对喉返神经保护方法研究的深入,喉返神经显露技术、术中神经监测及持续术中神经监测等方法相继出现。此3种技术方法各有其特点及利弊,本文对此3种技术方法进行总结及比较,旨在探讨不同方法的优势和弊端,为临床喉返神经保护方法的选择提供参考依据。

Recurrent laryngeal nerve（RLN） palsy is the most common complication of thyroidectomy, and it is closely related to its diversity of anatomical structure, procedures of operation, usage of energy-based devices（EBDs） and other relevant factors. With the development of research on RLN protection methods, routine visual identification of RLN, intraoperative neuromonitoring（IONM） and continuous intraoperative neuromonitoring（CIONM） appear successively. This article aims to summarize the particularities of the three different methods, compare their superiorities and defects and provide evidences for clinical practice.