Clinical Study of Nerve Probing Technology for Recurrent Laryngeal Nerve Protection in Laparoscopic Thyroid Surgery
Objective:To investigate the effect of nerve detection technology (IONM) on recurrent laryngeal nerve protection in laparoscopic thyroid surgery. Methods:70 patients with thyroid tumors admitted to our hospital from January 2020 to April 2024 were selected,all of whom underwent laparoscopic surgery. They were divided into two groups based on whether IONM was used during surgery. The control group did not use IONM,while the observation group used IONM,with 35 cases in each group,compared the effects. Results:Comparison of perioperative indicators showed no difference in intraoperative bleeding between the two groups (P>0.05),but the observation group had shorter surgical time,postoperative drainage tube removal time,and hospital stay. The incision drainage flow rate was lower at 24 hours after surgery,which was significantly different from the control group (P<0.05);The incidence of breathing difficulties,swallowing difficulties,and coughing due to drinking water in the observation group was slightly lower than that in the control group,with no statistically significant difference (P>0.05),but the incidence of recurrent laryngeal nerve injury was significantly lower than that in the control group (P<0.05). Conclusion:The implementation of IONM assisted surgery in laparoscopic thyroid surgery can quickly identify the course of the recurrent laryngeal nerve,predict mutations,and protect the integrity of the recurrent laryngeal nerve function,thereby reducing the risk of recurrent laryngeal nerve injury. At the same time,it also has a certain reducing effect on other surgical complications,and can even shorten the surgical time and hospitalization time. After surgery,the drainage tube can be removed more quickly,reducing the drainage volume.