甲状腺腺叶切除手术中显露喉返神经临床分析  

作　　者：黄君华[1] 

机构地区：[1]成都市第五人民医院乳腺甲状腺外科,四川成都611130.

出　　处：《中国地方病防治》2014年第B08期365-365,共1页Chinese Journal of Control of Endemic Diseases

摘　　要：目的探讨甲状腺腺叶切除手术中显喉返神经的临床应用效果。方法 对我院在2005-2010年收治的50例行甲状腺腺叶切除手术患者的临床资料进行回顾性分析，其中实验组患者为30例行甲状腺腺叶切除手术（显露喉返神经），其他的20例患者为对照组行甲状腺叶切除手术（未显露喉返神经），对比两组患者的手术效果和并发症情况。结果对两组患者术后进行半年的随访，最终结果显示实验组患者并发喉返神经损伤2例，并且属于暂时性损伤，没有出现喉上神经损伤的情况，也没有出现甲状腺旁腺功能衰退症，并发症的发生率为6．67％；对照组患者有有2例出现永久性损伤，5例出现返喉神经损伤，有l例出现甲状腺旁腺功能减退，有3例出现喉上神经损伤，术后并发症发生率为55％。结论 甲状腺腺叶切除术中显露喉返神经可以大大降低并发症的发生率，值得在临床推广。Objective to study the thyroid gland lobe resection operation show the clinical application effect of laryngeal recurrent nerve. Methods in our hospital in 2005-2010 were 50 regular lobe thyroid gland surgery in patients with clinical data were retrospectively analyzed, including the experi mental group patients for 30 routine lobe thyroid gland surgery （expose laryngeal recurrent nerve）, the other 20 patients as control group of thyroid lobe resection surgery （not expose laryngeal recurrent nerve）, compared two groups of patients with ,surgical effect and complications. Results two groups of patients after 6 months of follow--up, the final result shows that the experimental group patients complicated with laryngeal recurrent nerve injury in 2 cases, and belong to the temporary damage, not appear laryngeal nerve damage, nor thyroid glands function recession, the incidence nf complications was 6.67% ; In 2 cases of control group patients with permanent damage, 5 cases of recurrent laryngeal nerve injury, 1 case of thyroid glands function decline, 3 cases with laryngeal nerve injury, the incidence of postoperative complications was 55%. Conclusion thyroid gland lobecto my, revealed laryngeal recurrent nerve can greatly reduce the incidence of complications, is worth popularizing in clinical.

关 键 词：喉返神经 腺叶切除手术 临床治疗效果 

分 类 号：R736.1[医药卫生—肿瘤]