TY -的A2 Pramesh c . s . AU - Gurleyik Emin盟——Gurleyik Gunay PY - 2016 DA - 2016/10/13 TI -不再发生的喉神经术中神经监测SP - 1606029六世的时代- 2016 AB -不再发生的喉神经(non-RLN)是一个解剖变异增加声带麻痹的风险。预测和早期识别非rln可以减少这种损伤的风险。本研究评估术中神经监测(IONM)检测非rln的效果。272例患者共识别并完全暴露462(236右侧)神经，术中所有IONM步骤依次应用于迷走神经(VN)和RLN。右侧解剖前VN刺激远端未产生声音信号3例(3/236;1.27%)。IONM引导下右侧VN近端剥离建立近端点，产生阳性信号。三例患者均发现非rln与VN的分离点。非rlns暴露从分离到喉入。甲状腺叶切除后IONM信号为阳性，非rln患者术后时间无明显变化。 Absence of distal VN signal is a precise predictor of the non-RLN. IONM-guided proximal dissection of the right VN leads to identification of the non-RLN. The prediction of non-RLN by the absence of the VN signal at an early stage of surgery may prevent or minimize the risk of nerve injury. SN - 2356-6752 UR - https://doi.org/10.1155/2016/1606029 DO - 10.1155/2016/1606029 JF - Advances in Medicine PB - Hindawi Publishing Corporation KW - ER -