目的 探讨甲状腺双侧全切术中实施喉返神经监测的临床效果。方法 选取2022年3月—2023年3月在江门市人民医院进行甲状腺双侧全切手术的80例甲状腺癌患者为观察对象,根据术中是否采用喉返神经监测分为对照组（术中未行喉返神经监测）和观察组（术中行喉返神经监测）,每组各40例,对比两组的临床指标水平及喉返神经损伤情况。结果 在术中出血量、引流量的比较上,两组均无明显差异（P>0.05）;在喉返神经探查时间、手术时间的比较上,观察组[（6.73±2.46） min、（102.35±18.48） min]明显短于对照组[（9.17±3.54） min、（113.27±16.85） min],差异有统计学意义（P<0.05）;在暂时性喉返神经损伤发生率、永久性喉返神经损伤发生率的比较上,观察组均明显低于对照组（P<0.05）。结论 对于甲状腺癌患者而言,在甲状腺双侧全切手术中实施喉返神经监测不仅可有效缩短喉返神经的探查时间和手术时间,还可有效减少暂时性与永久性喉返神经损伤情况的发生。

Objective To investigate the clinical effect of recurrent laryngeal nerve monitoring in bilateral total thyroidectomy. Methods The study subjects were 80 patients with thyroid cancer who underwent bilateral total thyroidectomy in Jiangmen People's Hospital from March 2022 to March 2023. They were evenly divided into two groups according to whether recurrent laryngeal nerve monitoring was used during the operation, namely, 40 patients who did not undergo recurrent laryngeal nerve monitoring during the operation were classified into the control group, and the other 40 patients with recurrent laryngeal nerve monitoring during the operation were classified into the observation group. Clinical indicators and recurrent laryngeal nerve injury were compared between the two groups. Results There was no significant difference （P>0.05） in intraoperative bleeding volume and drainage volume between the two groups. The exploration time and surgical time of recurrent laryngeal nerve of the observation group [（6.73±2.46） min and （102.35±18.48） min] were significantly shorter than those of the control group [（9.17±3.54） min and （113.27±16.85） min] （P<0.05）. Compared with the control group, the observation group had significantly lower incidence rates of temporary recurrent laryngeal nerve injury and permanent recurrent laryngeal nerve injury （P<0.05）. Conclusion For patients with thyroid cancer, monitoring of recurrent laryngeal nerve during bilateral total thyroidectomy can not only effectively shorten the exploration time and operation time of recurrent laryngeal nerve, but also effectively reduce the occurrence of temporary and permanent recurrent laryngeal nerve injury.