电邮这篇文章 儿童甲状腺手术中使用神经监测仪的经验
- 作者: Gostimsky A.V.1, Romanchishen A.F.2, Peredereev S.S.1, Vabalayte K.V.2
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隶属关系:
- St. Petersburg State Pediatric Medical University
- Saint Petersburg State University
- 期: 卷 12, 编号 5 (2021)
- 页面: 53-58
- 栏目: Original studies
- URL: https://journals.eco-vector.com/pediatr/article/view/104991
- DOI: https://doi.org/10.17816/PED12553-58
- ID: 104991
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详细
研究现实性。甲状腺手术存在并发症风险，并发症加重术后病程，导致患者残疾。这些并发症之一是喉返神经损伤，导致发音障碍，如果双侧病变，则会造成呼吸障碍。
这项研究的目的是研究甲状腺手术中使用神经监测的方法学和有效性的特点。
材料与方法。本研究对55例儿童甲状腺疾病进行了一系列临床观察。术中监测使用Inomed公司的C2 Nerve Monitor测仪，记录喉返神经电刺激引起的声带动作电位。
结果。在手术干预期间的52次观察中，神经监测信号的振幅没有下降。在2个观察中，术中显示与神经过度反应相关的信号振幅下降。在1例观察中，手术结束时无信号，术后期间声带仍能保持活动，可能是术中监测技术失误所致。1例患者术中神经监测信号无变化，但术后出现语音功能异常，3个月内完全恢复。这些变化可能是由于气管插管技术造成的。
结论。神经监测是寻找喉返神经的另一种方法，但在任何情况下都不能消除对后者的精细解剖鉴定的需要。
全文:
作者简介
Alexander V. Gostimsky
St. Petersburg State Pediatric Medical University
Email: gostimsky@mail.ru
MD, PhD, Dr. Sci. (Med.), Professor, Head, Department of Hospital Surgery with Traumatology and Military Surgery Courses
俄罗斯联邦, Saint PetersburgAnatoly F. Romanchishen
Saint Petersburg State University
Email: afromanchishen@mail.ru
MD, PhD, Dr. Sci. (Med.), Professor, Scientific and Practical Center for Inflammatory, Metabolic and Oncological Diseases of the endocrine system
俄罗斯联邦, Saint PetersburgSergey S. Peredereev
St. Petersburg State Pediatric Medical University
Email: speredereev@yandex.ru
MD, PhD, Assistant, Department of With a Course of Radiation oncology Diagnostics and Radiotherapy
俄罗斯联邦, Saint PetersburgKristina V. Vabalayte
Saint Petersburg State University
编辑信件的主要联系方式.
Email: vabalayte@bk.ru
MD, PhD, Dr. Sci. (Med.), Professor, Scientific and Practical Center for Inflammatory, Metabolic and Oncological Diseases of the endocrine system
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