甲状腺再手术中喉返神经寻找方法初探  

To explore the method of exposure of recurrent laryngeal nerve in thyroid second operation

作　　者：王晓侠[1,2] 姚小宝[1] 李宏慧[1] 白艳霞[1] 张少强[1] 申震[1] 

机构地区：[1]西安交通大学第一附属医院耳鼻咽喉科,西安710061 [2]解放军451医院耳鼻咽喉科,西安710054

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第11期970-972,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨甲状腺再次手术中安全快捷的暴露喉返神经的方法。方法:回顾153例甲状腺再次手术,共解剖喉返神经177侧,分析上入路与下入路2种寻找喉返神经方法的功效。结果:39侧直接采用上入路寻及喉返神经,34侧采用上入路失败转而采用下入路成功,104侧直接采用下入路成功。结论:在甲状腺再次手术中,下入路寻找喉返神经是安全快捷的方法,其中寻找左侧喉返神经时气管及食管是最重要的解剖标志,寻找右侧喉返神经时无名动脉及颈总动脉是最重要的解剖标志。Objective：To discuss the safe approach to exposure of the recurrent laryngeal nerve （RLN） in thy-roid second operation. Method：The data of 153 patients with thyroid second operation were analyzed retrospectively to compare the effectiveness of superior and inferior approach in the exposure of RLN. Result： A total of 177 RLNs were exposed in 153 cases. Among those 39 RLNs were exposed by superior approach,34 by inferior approach after failure of superior approach, and 104 by inferior approach. Conclusion： In thyroid second operation, inferior approach is a safe and efficient method to expose RLN. Trachea and esophagus are the most important ana tomieal landmarks to look for the left RLN. Innominate artery and common carotid artery are the most important anatomical landmarks to look for right RLN.

关 键 词：甲状腺切除术 喉返神经 

分 类 号：R739.63[医药卫生—肿瘤]