甲状腺手术中喉返神经损伤的防护  

Protection of recurrent laryngeal nerve injury in thyroid surgery

作　　者：刘立志 

机构地区：[1]河北隆化县偏坡营满族乡卫生院普外,隆化068156

出　　处：《中国实用神经疾病杂志》2013年第17期38-39,共2页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨喉返神经在甲状腺手术中暴露与否对喉返神经受损几率的影响。方法随机选取2010-03—2013-03我院甲状腺手术患者280例。按照手术方法不同分为实验组和对照组,实验组170例,手术时显露喉返神经;对照组110例,手术时不显露喉返神经,对2组患者在手术中喉返神经损伤情况进行对比分析。结果实验结果显示实验组手术后仅有1例患者单侧喉返神经损伤,损伤率为0.59%。对照组110例患者中9例发生喉返神经单侧损伤,6例发生双侧喉返神经损伤;3例发生永久性损伤,损伤率为16.36%。2组损伤率差异有统计学意义(P<0.05)。结论在甲状腺手术中暴露喉返神经,能有效降低喉返神经损伤的发生率。Objective To investigate the protection effect of recurrent laryngeal nerve injury in thyroid surgery.Methods 280patients with thyroid surgery in our hospital from March 2010to March 2013were randomly divided into the experimental group(170cases,exposed the recurrent laryngeal nerve)and the control group(110cases,non-exposed the recurrent laryngeal nerve).The damage condition of recurrent laryngeal nerve in two groups were compared.Results 1case of experimental group had unilateral recurrent laryngeal nerve injury and the injury rate was 0.59%;There were 9patients with unilateral recurrent laryngeal nerve injury and 6patients with bilateral recurrent laryngeal nerve injury in the control group and the injury rate was 0.59%.Conclusion The injury rate of recurrent laryngeal nerve can be lowered in thyroid surgery.

关 键 词：甲状腺 喉返神经损伤 

分 类 号：R581[医药卫生—内分泌]