喉返神经显露在甲状腺肿瘤手术中的应用  

Application of dissecting the laryngeal nerve during thyroidectomy

作　　者：吴金声[1] 郑起[2] 樊有本[2] 

机构地区：[1]淮安市第一人民医院普外科,江苏淮安223300 [2]上海交通大学附属第六人民医院普外科,200233

出　　处：《临床肿瘤学杂志》2009年第8期727-729,共3页Chinese Clinical Oncology

摘　　要：目的:探讨甲状腺肿瘤手术中喉返神经显露方法及其在预防喉返神经损伤中的作用。方法:252例甲状腺肿瘤患者在甲状腺切除手术中显露喉返神经390侧,再行甲状腺次全切除术和甲状腺叶全切除术。结果:本组显露喉返神经甲状腺切除术中喉返神经损伤4侧,均为暂时性损伤,损伤率为1.03%(4/390)。结论:甲状腺肿瘤手术中,显露喉返神经可以有效预防永久性喉返神经损伤的发生。Objective：To study the methods of exposure of recurrent laryngeal nerve（RLN） in the opration of thyroid neoplasms and its effect in preventing the damage of RLN.Methods：Three hundreds and ninty sides subtotal or total thyroidectomy were performed on 252 patients with the exposure of RLN in the last 3 years.Results：Only 4 of all cases occurred transient RLN paralysis.The RLN paralysis rate was 1.03% in this series.Conclusion：The exposure of RLN in thyroidectomy can efficiently prevent permanent RLN paralysis.

关 键 词：喉返神经 损伤 甲状腺切除术 甲状腺肿瘤 

分 类 号：R736.1[医药卫生—肿瘤]