甲状腺手术中喉返神经的显露法与功能保护  

Exposing and protecting of recurrent laryngeal nerve in thyroid surgery

作　　者：马成权[1] 梁兴忠[1] 

机构地区：[1]蚌埠医学院第三附属医院普外科,安徽宿州234000

出　　处：《临床医学》2010年第6期20-21,共2页Clinical Medicine

摘　　要：目的探讨喉返神经显露法在甲状腺手术中的应用。方法 133例甲状腺手术中,良性病变83例,恶性病变50例,术中均显露喉返神经,在直视下保护喉返神经并切除病变。结果所有患者原发病灶完整切除,术后1周发现2例患者声音嘶哑,随访3个月后恢复功能,其他患者声音正常。结论喉返神经显露是甲状腺手术中的一项重要技术,合理的显露方法可保证患者手术安全,避免损伤喉返神经。Objective To introduce several methods of exposing and protecting recurrent laryngeal nerve （RLN） and investigate their efficacy and complications in thyroid surgery. Methods There were 133 cases of thyroidectomy operated, in which there were 83 benign cases and 50 malignant thyroid diseases. All cases underwent meticulous exposing procedure for the course of recurrent laryngeal nerve. Lesions were resected with the RLN in a visualized condition and nerves were remained intact. Re stilts Primary lesions had been removed successively. Paralysis of left recurrent laryngeal nerve was found in two cases on the seventh day postoperatively. Followed up for 3 mouths, the functions of RLN in these two cases had partially recovered. Vocal cord function of the others were normal. Malignant cases were followed by now without tumor recurrence. Conclusion The surgical procedures of exposing and protecting RLN play an important role in head and neck surgery. It has been demonstrated to be a safe operative method if correct skills and techniques were used and carefully performed by a experienced operator.

关 键 词：甲状腺手术 喉返神经 损伤 

分 类 号：R653[医药卫生—外科学]