甲状腺手术方式和喉返神经损伤的关系  

Recurrent laryngeal nerve injury and thyroid surgery in thyroidectomy

作　　者：朱伟东[1] 郑满跃[1] 

机构地区：[1]广东省惠州市人民医院普外科,516002

出　　处：《中国医药》2009年第3期208-209,共2页China Medicine

摘　　要：目的探讨甲状腺手术方式与喉返神经损伤的关系。方法回顾性分析2000例甲状腺手术方法与喉返神经损伤的关系。结果喉返神经损伤19例，损伤率为0．95％（19／2000），永久性损伤率为0．35％（7／2000）；喉返神经显露组损伤率0．36％（6／1680）明显低于非显露组的0．86％（13／1520）（χ^2=4．20，P〈0．05）。行甲状腺部分切除、侧叶次全切除、侧叶完全切除及同侧淋巴结清扫者喉返神经损伤率依次增高。甲状腺再次手术神经损伤。结论甲状腺手术方式及切除范围与喉返神经损伤明显相关（r=0．652，P〈0．05）。Objective To explore the relationship between recurrent laryngeal nerve injury （RLN）and thyroid surgery. Methods Comparison of surgery methods and relationship with RLN injury in 2000 cases of thyroidectomy. Results The overall incidence of recurrent laryngeal nerve injury was 0.95% （ 19/2000 ） and incidence of permanent damage was 0.35% （7/2000）. The injury incidence in the nerve exposure （0.36% , 6/ 1680） was significantly lower than non-exposure （0.86% , 13/1520） （ χ^2 = 4.20, P 〈 0.05 ）. The injury rates of partial lobectomy, subtotal lobectomy, lobectomy and lobectomy plus ipsolateral neck dissection increased in sequence. Conclusion The surgery method is significantly related with RLN （r = 0. 652, P 〈 0.05）.

关 键 词：喉返神经损伤 甲状腺切除术 甲状腺肿瘤 

分 类 号：R767.6[医药卫生—耳鼻咽喉科]