内镜下甲状腺手术术中监测应用的演变与进展

R. Ranganath, Vaninder K. Dhillon, J. Russell, R. Tufano
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引用次数: 0

摘要

术中神经监测(IONM)是一种在甲状腺开放手术中得到验证和广泛接受的技术。间歇性和连续性神经监测是目前可用的技术。国际神经监测小组制定了在开放手术中使用神经监测的标准。经口内镜甲状腺前庭切除术(TOETVA)在大容量内分泌手术中心越来越常见。为了被广泛接受,必须满足开放手术为神经监测设定的安全基准。本文综述了IONM在甲状腺内窥镜手术中的应用进展、IONM在TOETVA中的应用技术、使用的设备、优缺点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The evolution and progress of the application of intraoperative monitoring in endoscopic thyroid surgery
Intraoperative nerve monitoring (IONM) is a validated and well accepted technology in open thyroid surgery. Intermittent and continuous neuromonitoring are the current technologies that are available. The International Neural Monitoring Group has established standards for the use of nerve monitoring in open surgery. Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is becoming common in high volume endocrine surgery centers. To be widely accepted the safety benchmarks set by open surgery for neuromonitoring have to be met. The evolution of use of IONM in endoscopic thyroid surgery, the current technique of IONM use in TOETVA, equipment used, advantages and disadvantages are discussed in this review.
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