小切口甲状腺手术常规显露保护喉返神经  

The recurrent laryngeal nerve protection in routine thyroid surgery revealed small incision

作　　者：崔贺华[1] 

机构地区：[1]河南省漯河市第三人民医院普外科,462000

出　　处：《中国实用医刊》2015年第10期3-4,共2页Chinese Journal of Practical Medicine

摘　　要：目的 探讨小切口甲状腺手术常规显露中的喉返神经的保护.方法 随机选取在漯河市第三人民医院接受小切口甲状腺手术治疗的患者189例,所有患者手术中都应用常规的显露保护方法,对患者的喉返神经损伤情况进行统计分析,探讨相关的小切口甲状腺手术常规显露喉返神经的保护方法.结果 189例患者中,共有248根喉返神经显露,其中上入路法显露56根,中入路法显露40根,下入路法显露152根,暂时性的喉返神经损伤率为0.81％,没有出现喉返神经切断情况,并且所有患者没有出现低钙、呼吸困难等并发症.结论 小切口甲状腺手术与传统的手术方法相比,具有适应证广、易操作、创伤小等特点,但是很容易导致出现喉返神经的损伤,手术过程中,对患者实施常规的显露保护非常必要.Objective To investigate the recurrent laryngeal nerve protection in routine thyroid surgery revealed small incision.Methods Randomly selected 189 patients with small incision thyroid surgery in the third people＇ s hospital of Luohe,all patients were applied with conventional surgery revealed protection methods for statistical analysis of patients with recurrent laryngeal nerve injury through,and investigate related routine thyroid surgery revealed small incision protection RLN protection methods.Results In 189 patients,revealed a total of 248 recurrent laryngeal nerve,which revealed approach law 56,the law revealed 40 into the road,down into the road law revealed 152,temporary recurrent laryngeal nerve injury rate of 0.81%,no case of recurrent laryngeal nerve cut appearance,and all patients didn＇ t appear hypocalcemia,breathing difficulties and other complications.Conclusions Small incision thyroid surgery compared with conventional surgical methods,with broad indications,easy to operate,trauma,et al,but can easily lead to recurrent laryngeal nerve damage occurs during surgery,for patients with conventional protection is very necessary to reveal.

关 键 词：小切口甲状腺 常规显露保护 喉返神经损伤 

分 类 号：R653[医药卫生—外科学]