甲状腺手术中2种显露喉返神经方法的比较  

Comparision of two approaches to expose the recurrent laryngeal nerve during thyroid surgery

作　　者：刘先富[1] 韩福生[1] 

机构地区：[1]蚌埠医学院第一附属医院肿瘤外科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2015年第10期1328-1329,1332,共3页Journal of Bengbu Medical College

摘　　要：目的:比较甲状腺手术中采用甲状腺下动脉区显露法和甲状软骨下角区显露法显露喉返神经的效果。方法:120例甲状腺手术中,根据术中显露喉返神经的方式不同分为甲状腺下动脉区显露组65例(99条次)和甲状软骨下角区显露组55例(57条次)。分别比较2组寻找喉返神经时间(即游离好甲状腺开始寻找喉返神经至找到的时间)、术中出血量(即寻找喉返神经时的出血量)及术后声音嘶哑发生率。结果:2种方法寻找喉返神经时间、术中出血量及术后一过性声音嘶哑发生率差异均无统计学意义(P>0.05)。结论:采用甲状腺下动脉区显露法和甲状软骨下角区显露法显露喉返神经均能简便、有效地寻找到喉返神经,并能够有效保护喉返神经不受损伤,术中应根据实际情况,在直视下灵活采用2种方式解剖、寻找喉返神经。Objective：To compare the effects of exposure the recurrent laryngeal nerve between inferior thyroid artery and inferior horn of thyroid cartilage exposure approach. Methods：One hundred and twenty patients treated with the thyroid operation were divided into the inferior thyroid artery explore group（65 cases,99 items） and inferior horn of thyroid cartilage exposure group（55 cases,57 items） according to the different approaches of exposure recurrent laryngeal nerve. The time of looking for recurrent laryngeal nerve （ from starting to look for recurrent laryngeal nerve to find it ） , peroperative bleeding （ during the looking for preiod ） and incidence of postoperation hoarseness between two groups were compared. Results：The differences of the time of looking for recurrent laryngeal nerve,peroperative bleeding and incidence of postoperation hoarseness between two groups were not statistical significance（P〉0. 05）. Conclusions：Both two approaches are simple and effective means in looking and protecting the recurrent laryngeal nerve. The application of exposure approach should be based on the actual situation.

关 键 词：甲状腺/外科手术 喉返神经 显露 

分 类 号：R653[医药卫生—外科学]