喉返神经显露在甲状腺手术中应用的疗效分析(附247例报告)  

Clinical application of exposing the recurrent laryngeal nerve(RLN)on thyroid surgery:Report of 247 cases

作　　者：陈少华[1] 吴哲[1] 陈永标[1] 胡还章[1] 张坤[1] 

机构地区：[1]南京军区福州总医院甲状腺外科,福州350025

出　　处：《福建医药杂志》2012年第6期7-9,共3页Fujian Medical Journal

摘　　要：目的探讨甲状腺手术中显露喉返神经的意义。方法回顾性分析423例甲状腺手术患者的临床资料,其中247例显露喉返神经,176例仅采取区域性保护手段而未显露喉返神经。结果显露喉返神经组喉返神经暂时性损伤1例,无永久性损伤,总损伤率为0.4%;未显露喉返神经组喉返神经暂时性损伤7例,永久性损伤3例,总损伤率为5.7%,两组损伤率比较,差异有统计学意义(P<0.05)。结论在甲状腺手术中显露并注意保护喉返神经能有效预防神经损伤,尤其是永久性损伤。Objective To explore significance of exposing the recurrent laryngeal nerve （RLN） in thyroid surgery. Methods The clinical data of 423 patients who underwent thyroidectomy were analyzed retrospectively. The RLN was exposed in 247 cases, and 176 cases were traditional without the exposing o~ the RLN. Results There was one case with RLN tempora- ry injury and no permanent injury （0.4%） in the group of exposing RLN. In the traditional group there were seven cases with RLN temporary injury and three cases with premanent injury （5.7%）. The difference between two groups was significant （P~ 0.05）. Conclusion Exposing and protecting RLN in the thyroidectomy is an efficient method to prevent the RLN injury, espe- cially the permanent damage.

关 键 词：喉返神经 甲状腺切除术 损伤 

分 类 号：R653[医药卫生—外科学]