喉返神经及其分支解剖特征在甲状腺手术中的临床意义  

Clinical significance of anatomizing recurrent laryngeal nerve and its branches during thyroidectomy

作　　者：王军[1] 

机构地区：[1]安徽省阜阳市人民医院普外科,236004

出　　处：《蚌埠医学院学报》2011年第6期596-597,599,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨喉返神经及其分支解剖在甲状腺手术中的临床意义。方法:对95例甲状腺切除术中观测的105侧喉返神经的有关资料进行回顾性分析。结果:97侧(92.38%)喉返神经入喉前分成前、后2支,1支入喉者6侧(5.71%),3支入喉者2侧(1.91%);分叉距入喉点0.4～2.5 cm;1例术后出现暂时性声音嘶哑。结论:喉返神经存在着分支等解剖特点,术中正确辨认并安全地解剖喉返神经是避免喉返神经损伤的关键。Objective：To explore the clinical significance of anatomizing recurrent laryngeal nerve （RLN） and its branches during thyroidectomy. Methods： One hundred and five sides of RLN anatomized during 95 cases of thyroidectomy were retrospectively analyzed. Results：Ninety seven sides （92.38%） of the 105 RLN anatomized bifurcated into the laryngeal branch and extra-laryngeal branch. Six sides（5.71% ） of the RLN gave off one branch. Two sides （1.91%） of the RLN gave off three branches. The lengths of branches were 0.4 -2.5 cm. One case had postoperatively transient hoarseness. Conclusions ：There are branches and other anatomical features of the RLN. Correct identification and safe dissection of the RLN are essential in thyroid surgery.

关 键 词：喉返神经 解剖 甲状腺/外科手术 

分 类 号：R322.85[医药卫生—人体解剖和组织胚胎学]