术中神经监测仪皮下针埋置处皮肤热损伤（附1例报告）

doi:10.16139/j.1007-9610.2024.03.13

外科理论与实践 ›› 2024, Vol. 29 ›› Issue (03): 260-263.doi: 10.16139/j.1007-9610.2024.03.13

术中神经监测仪皮下针埋置处皮肤热损伤（附1例报告）

邢戌健¹, 陈亮², 贺文¹, 费健³()

1. 上海国际医学中心普外科，上海 201315
2. 南京邮电大学，江苏南京 210023
3. 上海交通大学医学院附属瑞金医院普外科，上海 200025

收稿日期:2023-11-24 出版日期:2024-05-25 发布日期:2024-09-03
通讯作者: 费健，E-mail: feijian@hotmail.com

Skin thermal injury at site of hypodermic electrodes placed for intraoperative neuromonitoring during thyroidectomy: one case report

XING Xujian¹, CHEN Liang², HE Wen¹, FEI Jian³()

1. Department of General Surgery, Shanghai International Medical Center, Shanghai 201315, China
2. Nanjing University of Posts and Telecommunications, Jiangsu Nanjing 210023, China
3. Department of General Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China

Received:2023-11-24 Online:2024-05-25 Published:2024-09-03

摘要/Abstract

摘要：

为减少术中喉返神经损伤，术中神经监测技术在甲状腺手术，尤其是甲状腺再次手术中的应用越来越多。然而神经监测仪的使用过程中也存在潜在的不良反应和安全隐患。本文报道上海国际医学中心1例甲状腺癌病人术中应用喉返神经监测，皮下针电极埋置处出现皮肤热损伤的不良反应。本文结合相关不良事件信息分析原因，通过认识潜在风险，加强防范意识，维护病人人身安全。

关键词: 术中神经监测, 皮下针电极, 热损伤, 甲状腺手术

Abstract:

In order to reduce intraoperative recurrent laryngeal nerve injury, intraoperative neural monitoring(IONM) is widely used in thyroid-related surgery, especially in reoperations. However, some incidental injuries have also been observed during IONM. This article reported a case suffered skin thermal injury at the site of hypodermic needle electrode placement during IONM in Shanghai International Medical Center. Combining relevant adverse event information and analyzing the causes was essential to understand and prevent potential risks, and prioritize patient safety.

Key words: Intraoperative neural monitoring (IONM), Hypodermic needle electrode, Thermal injury, Thyroid surgery

中图分类号:

R653
R4

邢戌健, 陈亮, 贺文, 费健. 术中神经监测仪皮下针埋置处皮肤热损伤（附1例报告）[J]. 外科理论与实践, 2024, 29(03): 260-263.

XING Xujian, CHEN Liang, HE Wen, FEI Jian. Skin thermal injury at site of hypodermic electrodes placed for intraoperative neuromonitoring during thyroidectomy: one case report[J]. Journal of Surgery Concepts & Practice, 2024, 29(03): 260-263.

图/表 3

参考文献 9

[1]	BIHAIN F, NOMINE-CRIQUI C, DEMARQUET L, et al. What is the impact of continuous neuromonitoring on the incidence of injury to the recurrent laryngeal nerve during total thyroidectomy?[J]. Surgery, 2020, 169(1):63-69.
[2]	SCHWEITZER C L, WISEMAN S M. Adoption of intraoperative nerve monitoring for thyroidectomy: supported by real-world NSQIP data[J]. Am J Surg, 2021, 221(6):1285-1290. doi: 10.1016/j.amjsurg.2021.03.053 pmid: 33838865
[3]	SNYDER S K, SIGMOND B R, LAIRMORE T C, et al. The long-term impact of routine intraoperative nerve monitoring during thyroid and parathyroid surgery[J]. Surgery, 2013, 154(4):704-711.
[4]	BARCZYŃSKI M, KONTUREK A, PRAGACZ K, et al. Intraoperative nerve monitoring can reduce prevalence of recurrent laryngeal nerve injury in thyroid reoperations: results of a retrospective cohort study[J]. World J Surg, 2014, 38(3):599-606. doi: 10.1007/s00268-013-2260-x pmid: 24081538
[5]	LING Y, ZHAO J, ZHAO Y, et al. Role of intraoperative neuromonitoring of recurrent laryngeal nerve in thyroid and parathyroid surgery[J]. J Int Med Res, 2020, 48(9):300060520952646.
[6]	SUN W, LIU J, ZHANG H, et al. A meta-analysis of intraoperative neuromonitoring of recurrent laryngeal nerve palsy during thyroid reoperations[J]. Clin Endocrinol (Oxf), 2017, 87(5):572-580.
[7]	WONG K P, MAK K L, WONG C K, et al. Systematic review and meta-analysis on intra-operative neuro-monitoring in high-risk thyroidectomy[J]. Int J Surg, 2017, 38:21-30. doi: S1743-9191(16)31205-5 pmid: 28034775
[8]	SARNTHEIN J, LÜCHINGER R, PICCIRELLI M, et al. Prevalence of complications in intraoperative magnetic resonance imaging combined with neurophysiologic monitoring[J]. World Neurosurg, 2016, 93:168-174. doi: 10.1016/j.wneu.2016.05.097 pmid: 27288580
[9]	DIAS S, SARNTHEIN J, JEHLI E, et al. Safeness and utility of concomitant intraoperative monitoring with intraoperative magnetic resonance imaging in children: a pilot study[J]. World Neurosurg, 2018, 115:e637-e644.

[1]	王斌, 仇明. 腔镜甲状腺外科手术的精细化操作技术[J]. 外科理论与实践, 2023, 28(03): 197-201.
[2]	李长霖, 孙辉. 浅谈中国甲状腺术中神经监测技术发展[J]. 外科理论与实践, 2021, 26(06): 482-485.
[3]	王甜甜, 谢秋萍, 王平. 机器人甲状腺手术的颈侧区淋巴结清扫[J]. 外科理论与实践, 2021, 26(06): 476-481.
[4]	高浩基, 孙寒星, 黄海燕, 应夏洋, 刘卓然, 李瑞, 匡洁, 严佶祺. 机器人辅助男性甲状腺切除术的可行性分析[J]. 外科理论与实践, 2020, 25(06): 503-506.
[5]	汪矛斐, 袁申毅, 袁建明, 刘涛, 王天翔, 王明亮. 甲状腺切除术后甲状旁腺功能减退的危险因素分析[J]. 外科理论与实践, 2020, 25(02): 124-128.
[6]	牛亦奇, 邓先兆, 樊友本. 甲状腺切除术中喉上神经监测的研究进展[J]. 外科理论与实践, 2020, 25(02): 167-170.
[7]	贺青卿, 李小磊, 朱见. 双侧腋窝乳晕入路机器人甲状腺癌切除的经验与技巧[J]. 外科理论与实践, 2019, 24(06): 489-494.
[8]	张彬. 经口腔达芬奇机器人甲状腺手术[J]. 外科理论与实践, 2019, 24(06): 503-506.
[9]	叶卫东, 郭伯敏, 樊友本. 腔镜甲状腺手术多种入路的探索和未来发展[J]. 外科理论与实践, 2019, 24(06): 498-502.
[10]	吴国洋, 林福生. 经口腔前庭入路腔镜甲状腺手术专家共识解读及争议[J]. 外科理论与实践, 2019, 24(06): 495-497.
[11]	赵文新, 王波, 颜守义, 张立永. 胸前入路腔镜甲状腺手术的观念更新与技术突破[J]. 外科理论与实践, 2019, 24(06): 484-488.
[12]	王松, 俞星, 王平. 腔镜甲状腺手术的发展回顾、现状与展望[J]. 外科理论与实践, 2019, 24(06): 480-483.
[13]	王梦迪, 朱见, 曹宪姣, 贺青卿. 甲状旁腺功能减退症与中医痉症的关系[J]. 外科理论与实践, 2019, 24(06): 543-545.
[14]	张浩, 孙威. 能量器械对甲状旁腺的保护[J]. 外科理论与实践, 2018, 23(02): 96-98.
[15]	严泽文, 王培松, 邹贤, 仝海磊, 卢麒宇, 韩慧, 杨帅, 孟伟, 陈光. 术中荧光微球免疫层析法快速识别甲状旁腺[J]. 外科理论与实践, 2018, 23(02): 120-124.

术中神经监测仪皮下针埋置处皮肤热损伤（附1例报告）

Skin thermal injury at site of hypodermic electrodes placed for intraoperative neuromonitoring during thyroidectomy: one case report

RichHTML

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

图/表 3

参考文献 9

相关文章 15

编辑推荐

Metrics

本文评价