喉返神经监测在复杂甲状腺手术中的应用与研究

The application and research of recurrent laryngeal nerve monitoring in complex thyroid surgery

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(P<0.05)。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(P<0.05)。结论复杂甲状腺手术中喉返神经监测能使喉返神经更明显,识别时间较短,术后并发症发生率低,值得在临床推广应用。

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 （P 〈0.05）;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 （P 〈 0.05）. 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.