关键词: 甲状腺, 喉返神经, 损伤, 术中神经监测, 再次手术

Abstract: 【Abstract】〓Objective〓To explore the clinical value of recurrent laryngeal nerve monitoring during thyroid re-operation. Methods〓NIM-Response 3.0 monitoring system was applied in 65 patients in the real-time monitoring group, and conventional exposure of RLN was implemented in 50 patients in the routine operative group. The temporary and permanent paralysis rates of RLN, time for RLN exposure, time for operation were compared between two groups. Results〓The temporary and permanent RLN injury rates in the real-time monitoring group was lower than the conventional exposure group(1.53% vs 8.0%,P<0.01; 0 vs 4.0%,<0.01). Moreover, the median time for RLN exposure and time for operation in patients of the real-time monitoring group were shorter than that of the routine operative group(5.56±1.95 mins vs 15.92±2.69 mins,P<0.01, t=-23.94;113.90±9.40 mins vs 132.40±21.40 mins,P<0.01, t=-6.23). Conclusion〓Intraoperative recurrent laryngeal nerve monitoring can reduce the temporary and permanent RLN injury rate and decreased the time for RLN exposure and operation for patients undergoing thyroid re-operation.

Key words: Re-operation, Intraoperative nerve monitoring, Paralysis, Recurrent laryngeal nerve, Thyroid