PDF(Pubmed)
Abstract：
Thyroid surgeries are associated with complications of vocal cord palsy and hypocalcemia which can be debilitating. The usage of intraoperative nerve monitoring is a useful adjunct to direct nerve visualization in thyroidectomies. We advocate the usage of direct transcricothyroid electromyographic monitoring in identifying recurrent laryngeal nerve. We retrospectively collected data of all patients who underwent thyroidectomies (total thyroidectomy, hemithyroidectomy, isthmusdectomy) using direct transcricothyroid electromyographic monitoring from April 2020 to August 2021. Data was analysed based on patient\'s demographics, comorbidities, complications post thyroidectomy such as vocal cord palsy, transient and permanent hypocalcemia. 50 thyroidectomies were performed, 10 developed unilateral vocal cord palsy. Out of 22 total thyroidectomies, 7 developed transient hypocalcemia and 4 permanently. 1 patient developed vocal cord hematoma secondary to direct insertion of intraoperative nerve monitor\'s electrode. Direct transcricothyroid electromyographic monitoring is a feasible and effective method in intraoperative monitoring of recurrent laryngeal nerve during thyroid surgeries.
摘要：
甲状腺手术与声带麻痹和低钙血症的并发症有关，这可能会使人衰弱。术中神经监测的使用是甲状腺切除术中直接神经可视化的有用辅助手段。我们提倡使用直接的经甲状腺肌电图监测来识别喉返神经。我们回顾性收集所有接受甲状腺切除术的患者的数据（全甲状腺切除术，半甲状腺切除术,2020年4月至2021年8月，使用直接经甲状腺肌电图监测）。根据患者的人口统计学分析数据，合并症,甲状腺切除术后的并发症，如声带麻痹，短暂性和永久性低钙血症。进行了50例甲状腺切除术，10例发展为单侧声带麻痹。在22例甲状腺切除术中，7例发生短暂性低钙血症，4例发生永久性低钙血症。1例患者出现声带血肿，继发于直接插入术中神经监测电极。直接经甲状腺肌电图监测是甲状腺手术术中监测喉返神经的一种可行且有效的方法。
