甲状腺手术中喉返神经损伤的临床探讨  

Clinical study of recurrent laryngeal nerveinjury during thyroid operation

作　　者：沈中祥[1] 

机构地区：[1]安徽淮南红十字朝阳医院外科,232001

出　　处：《中国实用医药》2013年第23期31-32,共2页China Practical Medicine

摘　　要：目的探讨甲状腺手术预防喉返神经损伤的体会。方法回顾性分析283例甲状腺手术患者的临床资料,术中显露喉返神经205例(显露组),不显露喉返神经78例(不显露组)。观察术后两组喉返神经损伤情况。结果显露喉返神经组喉返神经暂时性损伤1例,损伤率0.49%,未发现喉返神经永久损伤。而不显露喉返神经组喉返神经损伤6例,损伤率约7.7%,其中永久性损伤1例,暂时性损伤5例。两组间差异有统计学意义(P<0.01)。结论甲状腺手术中显露喉返神经能减少喉返神经的损伤,是预防其损伤的有效方法。Objective Thyroid surgery to prevent the experience of the recurrent laryngeal nerve inju- ry. Methods The clinical data of 283cases treated from January 2007 to January 2013 were analyzed retros- pectively. Among these cases, 205 underwent anatomy of the RLN, 78 did not Injuries of the RLN were ob- served. Results There were one cases of temporary nerve injuries in the RLN anatomy group（0. 49% ） but no permanent nerve injury case was found. There were 5 cases of temporary nerve injuries and 1 cases of perma- nent nerve injuries in the non- RLN anatomy group（7.7% ）. The difference between the two groups was statis- tically significant （ P 〈 0. 01 ）. Conclusion The anatomy of the recurrent laryngeal nerve in thyroid surgery is effective in reducing and preventing RLN injury

关 键 词：甲状腺疾病 甲状腺切除术 喉返神经 

分 类 号：R653[医药卫生—外科学]