Comparative study on intraoperative neuromonitoring of recurrent laryngeal nerve during thyroidectomy
10.3760/cma.j.issn.1674-6090.2013.01.004
- VernacularTitle:甲状腺手术中喉返神经监测应用的比较研究
- Author:
Bo HU
;
Hua YANG
;
Fan YANG
;
Xueqing JIANG
- Publication Type:Journal Article
- Keywords:
Intraoperative neuromonitoring;
Recurrent laryngeal nerve;
Thyroid surgery
- From:Journal of Endocrine Surgery
2013;7(1):11-13
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of intraoperative neuromonitoring(IONM) for preventing recurrent laryngeal nerve(RLN) injury in thyroid surgery.Methods 1087 consecutive patients undergoing thyroid surgery at Wuhan Central Hospital from Oct 2010 to Dec 2012 were evaluated.277 cases(the study group) underwent thyroidectomy with RLN identification by naked eye plus IONM.810 cases(the control group)underwent thyroidectomy with RLN identification by naked eye only.Results In the control group,733 RLNs (90.49％,733/810)were successfully identified and 77 RLNs were failed to be identified.In the study group,all the 277 RLNs(100％,277/277)were successfully identified.28 cases had postoperative temporal RLN injury,among whom 26 cases were in the control group and 2 cases were in the study group.18 cases in the control group and 2 cases in the study group recovered in 2 weeks after surgery.The rest recovered in 2 months after surgery.RLN injury rate was significantly lower in the study group than in the control group.There was no significant difference in RLN injury for low-risk surgical patients between the 2 groups; however,the study group had advantages in RLN injury than the control group for high-risk patients.Conclusions IONM in thyroid surgery can improve the recognition rate of RLN during thyroidectomy.IONM can significantly reduce the incidence of RLN injury,especially in high-risk surgery.
