中国实用外科杂志

中国实用外科杂志 ›› 2022, Vol. 42 ›› Issue (06): 695-699.DOI: 10.19538/j.cjps.issn1005-2208.2022.06.20

• 论蓍 • 上一篇    下一篇

拟行双侧甲状腺手术中单侧神经肌电信号丢失后最佳手术方案研究

赵诣深，寇杰栋，梁    楠，韩宇家，孙    辉   

  1. 吉林大学中日联谊医院甲状腺外科 吉林省外科转化医学重点实验室 吉林省甲状腺疾病防治工程实验室，吉林长春130033
  • 出版日期:2022-06-01 发布日期:2022-06-12

  • Online:2022-06-01 Published:2022-06-12

摘要： 目的    探讨拟行全甲状腺切除术中，一侧出现神经肌电信号丢失（LOS）后，对侧的最佳手术方案。方法    回顾性分析吉林大学中日联谊医院甲状腺外科近3年9017例开放甲状腺手术病人的临床资料。同时，通过调研国内外文献，对比分析中西方学者针对术中发生LOS后手术方案选择的观点差异。结果    共发现71例术中出现单侧LOS病人。其中68例继续对侧手术；3例行分期手术，无明显并发症出现。结论    甲状腺手术中发生单侧LOS后，术者应对神经功能进行充分准确评估，做出最佳手术决策。

关键词: 甲状腺手术, 肌电信号丢失, 手术方案, 分期手术, 中西方差异

Abstract: Study on the best surgical strategy after unilateral nerve EMG signal loss in bilateral thyroid surgery        ZHAO Yi-shen, KOU Jie-dong, LIANG Nan,et al.  Department of Thyroid Surgery, China-Japan Union Hospital of Jilin University, Jilin Provincial Key Laboratory of Translational Medicine of Surgery, Jilin Provincial Engineering Laboratory of Thyroid Disease Prevention and Treatment, Changchun 130033, China
Corresponding author:SUN Hui, E-mail: s_h@jlu.edu.cn
Abstract    Objective    To explore the best surgical decision after Loss of nerve signal（Loss of signal, LOS）during bilateral total thyroidectomy.Methods    By investigating the domestic and foreign literatures，the differences of Chinese and Western scholars' opinions on the choice of surgical plan after LOS were compared and analyzed.At the same time，the clinical data of 9017 patients undergoing open thyroid surgery in The Division of Thyroid Surgery of China-japan Union Hospital of Jilin University in recent 3 years were retrospectively analyzed. Results    A total of 71 patients with unilateral LOS were found.In 68 cases，contralateral surgery was continued.3 patients underwent staging surgery without significant complications. Conclusion    Unilateral LOS in thyroid surgery should be fully and accurately evaluated to make the best surgical decision.

Key words: thyroid surgery, loss of nerve signal, surgical decision, making , staging surgery, Chinese and Western differences