Study on the value of nerve monitoring technique in protecting the recurrent laryngeal nerve during thyroid surgery
Objective To study the effect and socio-economic value of using neuromonitoring technique to protect recurrent laryn-geal nerve(RLN)in thyroid surgery.Methods The data of 424 thyroid surgery patients admitted to our hospital from October 2019 to October 2023 were collected and divided into RLN monitoring group and non-RLN monitoring group.The data of RLN incidence,oper-ation time,nerve exposure time,postoperative discharge,intraoperative blood loss,hospitalization cost and hospital stay between two groups were compared.Results The incidence of nerve injury in both groups was 3.774%and 8.019%,respectively,The difference was statistically significant.The average hospitalization costs between the two groups were 13805.16±5.411 yuan and 9435.626±4.679 yuan,respectively,and costs were higher in RLN monitoring group than those in non-RLN monitoring group,with statistically signifi-cant difference(P<0.05).Then all cases were further divided into general thyroid group and complex thyroid group,There was no neu-rological difference in the incidence of neurological injury in the general thyroid group and complex thyroid group(P>0.05).In the complex thyroid surgery group,the nerve injury in the RLN monitoring group and non-RLN monitoring group was 4.167%,16.216%(P＜0.05),The exposure time of nerve exposure was 13.316±2.039 and 15.027±2.044(P<0.05).Hospitalization costs in the RLN surveillance group were higher than those in the non-RLN group,and the difference was statistically significant.Conclusion In the complex thyroid group,the RLN monitoring technique has obvious advantages in protecting RLN,but it has no obvious advantages in general thyroid surgery and significantly increases the hospitalization cost.The use of neuromonitoring technique requires comprehen-sive evaluation and reasonable selection.
万方数据
维普
