喉返神经的显露在甲状腺癌根治术中的意义  

The significance of exposing recurrent laryngeal nerve in thyroid cancer radical surgery

作　　者：刘谨文[1] 沈文状[1] 张军[1] 马士辉[1] 任玉萍[1] 吴毅平[1] 易继林[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院普外科,武汉430030

出　　处：《临床外科杂志》2008年第6期384-385,共2页Journal of Clinical Surgery

摘　　要：目的探讨喉返神经的显露在甲状腺癌根治性手术中的意义。方法回顾分析2003年7月至2006年12月间186例主动显露喉返神经的甲状腺癌根治手术病例资料。结果186例甲状腺癌均施行甲状腺全切或近全切除术。术中均成功显露双侧喉返神经,其中1例右侧非返喉下神经。喉返神经永久性损伤1例,暂时性损伤1例,永久损伤率为0.54%。结论甲状腺癌根治术中应常规在甲状腺下动脉周围寻找喉返神经,主动显露喉返神经不仅可减少喉返神经损伤的发生率,并可提高甲状腺癌手术的彻底性。Objective To investigate the significance and the effect of exposing recurrent laryngeal nerve （RLN） in thyroid cancer radical surgery. Methods The data of 186 cases of thyroid cancer undergoing radical surgery from JuLy 2003 to December 2006 were analyzed retrospectively. Resnits All the 186 patients were subjected to total or partial thyroidectomy. Both sides of RLNs were exposed successfully during operation. One right nonrecurrent inferior laryngeal nerve appeared in one case. Permanent RLN injury occurred in one case and temporary injury in other one case. RLN injury rate was 0.54%. Conclusion During radical operation for thyroid cancer, RLNs should be dissected routinely around the inferior thyroid artery. The exposure of RLNs can decrease the morbidity of the nerve injury and also increase the exhaustiveness of the thyroid cancer surgery.

关 键 词：甲状腺癌 甲状腺切除术 喉返神经 损伤 

分 类 号：R736.1[医药卫生—肿瘤]