甲状腺手术中喉返神经损伤的原因及预防  

Causes of laryngeal nerve damage during thyroid surgery and its prevention

作　　者：王振乾[1] 黄河[1] 蒋晓[1] 毛岸荣[1] 胡剑平[1] 崔小红[1] 种锦贵[1] 

机构地区：[1]解放军第85医院普通外科,上海200052

出　　处：《临床军医杂志》2013年第3期222-223,共2页Clinical Journal of Medical Officers

摘　　要：目的探讨甲状腺手术中喉返神经(RLN)损伤的原因和预防措施,为临床治疗提供依据。方法对2008年1月—2012年8月我院诊治的892例甲状腺手术患者的临床资料进行回顾性分析,分析造成喉返神经损伤的常见原因,并提出预防措施。结果在892例甲状腺手术患者中,有876例患者经过手术治疗痊愈,治愈率为98.2%;发生喉返神经损伤的有16例,发生率为1.8%,其中2例患者术后出现永久声音嘶哑。结论熟悉喉返神经的局部解剖特点和变异,是减少甲状腺手术中喉返神经损伤的关键环节。Objective To study the causes of laryngeal nerve damage during thyroid surgery, as well as its prevention, so as to pro- vide a basis for clinical treatment. Methods A total of 892 patients,who had undergone thyroid surgery from January 2008 to August 2012, were retrospectively analyzed for the causes of recurrent laryngeal nerve injury, as well as its preventive measures. Results Of the 892 patients who had undergone thyroid surgery, 876 were cured with a cure rate of 98.2% ; 16 suffered from recurrent laryngeal nerve injury with an incidence rate of 1.8% , two of whom encountered postoperative hoarseness. Conclusion To be familiar with the anatomic relationship and variability of the recurrent laryngeal nerve is the key to reduce recurrent larynge- al nerve injury during thyroid surgery.

关 键 词：甲状腺 喉返神经损伤 预防措施 

分 类 号：R581[医药卫生—内分泌]