特色医疗

特色医疗
特色介绍
整型美容

建構中

Consisting of 6 sub-specialties, our Department of Plastic Surgery includes general plastic surgery, craniofacial surgery center, hand and microsurgery, burn center, aesthetic center and hyperbaric oxgen therapy center. In average, over 3500 cases are performed in each year and the department has been certified by Symbol of National Quality (SNQ) for several times. Check out Featured Items and more about Plastic & Aesthetic Surgery.  

骨科

建構中

In order to improve the quality and efficiency of medical care, the department of orthopedics is divided into three sections, acult pediatric & spinal orthopedics. Our surgical team is capable to perform many international standard operations involving all orthopedic fields, such as instrumental correction of spinal deformities, total microsurgery including digital and major limb replacement, ligament reconstruction and arthroplasty, bone lengthening and all kinds of fractures management. 
Check out Featured Items of our orthopedic surgery.  

神经医学中心

建構中

Established in August 2001, the mission of our NeuroMedical Center is to foster and deliver excellence in diagnosis,......(more)

心血管疾病

建構中

Cardiovascular Center of KMUH has an average of 1400 cardiac catheterization procedures per year. Providing high-quality critical care is one of our important missions. Therefore, for patients with acute myocardial infarction, we offer 24-hour emergency angioplasty services. More about our Cardiovascular Center and its Featured Items

高端健检

建構中

甲状腺手术神经监测技术

        目前被普遍采用的”术中神经监测”技术其基本的设备与原理大略可以分为两个部份,一为刺激电极,也就是用所谓的”探针”(图1A)来释放电流,刺激神经反应,诱发肌肉收缩。另一部份则为接收电极,由于甲状腺切除手术都需要在全身麻醉插管下执行,所以当预计要应用术中神经监测技术时,麻醉过程就会选择采用带有电极的气管插管会放置于喉部,并接触在左侧与右侧声带上(图1A),以接收声带肌肉收缩时的讯号。同时,刺激电极(探针)和接收电极(气管插管)都会连接到神经监测系统主机-神经监测仪(图1D )上。手术中当探针探测到喉返神经时,便能诱发喉头内声带肌肉的收缩(图1C ),此时经由与声带接触的气管插管电极接收,显示肌电图讯号于神经监测仪上(图1D),并同时发出声响提醒。此外,手术中当探针探测到上喉神经时,则可以直接经由肉眼观察到喉头外的环甲肌肌肉收缩情形。因此,经由这项技术,医师得以在手术中更迅速定位与辨识喉返神经与上喉神经的位置,确认功能状态,并减少损伤的发生。(注:喉返神经损伤会造成声带麻痹及误呛; 上喉神经损伤会造成高音发生障碍)。

图一、甲状腺手术术中神经监测的应用。(A)喉部解剖模型示意图,左侧为喉部外侧解剖构造,神经监测探针指向右侧喉返神经。(*处为环甲肌,由上喉神经支配)。右侧为喉部内侧解剖构造,同时放置带有电极的气管插管于喉部,并与声带相接触。(B) 临床甲状腺肿大手术前照片,红线处显示甲状腺肿瘤外观。(C) 喉头内视镜影像,显示采用含电极的气管插管会放置于喉部,并接触在左侧声带(蓝色1标记)与右侧声带(红色2标记)上。(D)神经监测仪主机照片,屏幕显示右侧喉返神经受到探针刺激后所诱发声带收缩后的肌电图讯号。

优点
  • 适用病症:
  • 1. 甲状腺良性肿瘤或肿大(Goiter)
  • 2. 甲状腺癌 (Thyroid Cancer)
  • 3. 甲状腺功能过高 (Hyperthyroidism)
  • 4. 甲状腺炎 (Thyroiditis)
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