■作为辅助工具,术中神经监测(IONM)在甲状腺和甲状旁腺手术的神经功能保护中发挥了积极作用。这项研究旨在帮助临床医生了解,规范并合理应用IONM技术保护喉神经功能。
■IONM领域的数百名中国专家参与了这项工作。已尽一切努力确保这些新准则切实可行,系统,基于公认的尖端证据。使用前三个指南以及来自中国和其他国家的新的临床前和临床证据,专家小组将目前接受或接近接受的意见总结为建议。此外,建议等级和证据水平是根据建议评估的等级提出的,开发和评估(等级)。初稿由写作团队完成,然后通过电子邮件或会议进行几轮讨论后进行修改。
■本指南的最终版本包括42条建议,这可以告知和指导我们的同行在他们的临床实践,包括所有类型的开放,内窥镜,机器人甲状腺和甲状旁腺手术.
■这个版本是目前最全面的,并对我国甲状腺和甲状旁腺手术的IONM具有临床意义。
UNASSIGNED: As an auxiliary tool, intraoperative neuromonitoring (IONM) has played an active role in the protection of nerve function in thyroid and
parathyroid surgeries. This study aimed to help clinicians understand, standardize and reasonably apply IONM techniques in laryngeal nerves function protecting.
UNASSIGNED: Hundreds of Chinese experts in the field of IONM participated in this work. All efforts have been made to ensure that these new
guidelines are practical, systematic, and based on well-recognized cutting-edge evidence. Using the three previous
guidelines as well as new preclinical and clinical evidence from China and other countries, the expert panel summarized the current accepted or near-accepted opinions as the recommendations. In addition, the recommendation grades and evidence levels are presented in accordance with the Grading of Recommendations Assessment, Development and Evaluation (GRADE). The first draft was completed by the writing team and then revised after several rounds of discussions via email or meetings.
UNASSIGNED: The finalized version of this
guideline includes 42 recommendations, which may inform and guide our peers in their clinical practice, including all types of open, endoscopic, and robotic thyroid and
parathyroid surgeries.
UNASSIGNED: This edition is currently the most comprehensive, and clinically significant guide for IONM of thyroid and parathyroid surgery in China.