甲状腺手术中显露喉返神经的意义  

Significance of Exposure of Recurrent Laryngeal Nerve in Operation of Thyroid

作　　者：梁庆丰 刘海亮 郭成方 

机构地区：[1]林州市人民医院外科,林州市456550

出　　处：《医药论坛杂志》2007年第4期23-24,共2页Journal of Medical Forum

摘　　要：目的探讨甲状腺手术中显露喉返神经的方法和利弊。方法回顾性分析我科1998年10月-2004年10月手术治疗的甲状腺病变患者676例,解剖喉返神经178例,未解剖喉返神经498例。结果解剖喉返神经者无1例发生喉返神经损伤。未解剖喉返神经者喉返神经损伤2例,损伤率为0.40%。两者之间差异有统计学意义(P<0.01)。结论甲状腺手术中解剖喉返神经对喉返神经损伤有预防作用。解剖喉返神经视病变的大小及部位而定。Objective To explore the method and its advantage recurrent largngeal nerve （RLN） during operation of thyroid. Methods and shortcoming of exposing Retrospectively analyze 676 cases with thyroid disease from Oct. 1998 to Oct. 2004. Dissecting RLN 178 cases, undissect RLN 498 cases. Results None occured RLN injury in undissected cases, 2 cases RLN injury, injury rate 0.40%. Thereg obvious difference（ P 〈0. 01 ）. Conclusion Dissecting RLN during thyroid operation has prevention function to RLN.

关 键 词：甲状腺切除术 喉返神经损伤 环甲膜 

分 类 号：R653[医药卫生—外科学]