endosergЭндокринная хирургияEndocrine Surgery2306-35132310-3965Типография «Печатных дел Мастер»10.14341/2306-3513-2012-2-42-47endoserg-4002Research ArticleСтатьиArticlesИнтраоперационный нейромониторинг при операциях на щитовидной железеIntraoperative neuromonitoring in thyroid surgeryRumyantsevP O-20121506201262№2 (2012)4247Copyright © Rumyantsev P.O., 20122012Rumyantsev P.O.Rumyantsev P.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.surg-endojournals.ru/jour/article/view/4002

В клиническом исследовании проведен сравнительный анализ частоты послеоперационных неврологических осложнений вследствие повреждения двигательных нервов (возвратный гортанный, добавочный) после операций на щитовидной железе, выполнявшихся традиционным способом и с применением интраоперационного нейромониторинга. Использование нейромониторинга при операциях на щитовидной железе и центральной клетчатке шеи (VI уровень) позволило снизить частоту паралича возвратного гортанного нерва более чем в 2 раза ( OR = 0,32; 95% ДИ 0,11 – 0,86; P = 0,028). Абсолютным показанием к применению интраоперационного нейромониторинга автор считает операции с высоким риском непреднамеренного повреждения двигательных нервов, а также невозможностью их визуального обнаружения.

Comparative analysis of post-surgical neurologic complications due to motor nerves damage (recurrent laryngeal and spine nerves) during conventional and neuromonitoring-guide thyroid surgery is conducted in this clinical study. Implication of intraoperative neuromonitoring in thyroid as well as central neck (VI level) surgery permitted to reduce recurrence laryngeal nerve palsy more than two times ( OR = 0,32; 95% CI0,11–0,86; P = 0,028). As ultimate indication towards intraoperative neuromonitoring author consider operations associated with a high risk of motor nerve causal injury as well as fault of its visual identification.

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The authors declare that there are no conflicts of interest present.