复发性甲状腺再次手术中喉返神经损伤的预防  

Prevention of Recurrent Laryngeal Nerve Injury in Reoperation of Recurrent Thyroid Gland

作　　者：尹登贵 YIN Deng-gui(Department of General Surgery,Lufeng County People’s Hospital,Lufeng,Yunnan Province,651200 China)

机构地区：[1]禄丰县人民医院普外科,云南禄丰651200

出　　处：《中外医疗》2018年第3期92-93,96,共3页China & Foreign Medical Treatment

摘　　要：目的探讨复发性甲状腺再次手术中喉返神经损伤的预防。方法便利选取该院于2015年6月—2016年6月发生复发性甲状腺并进行再次手术的患者42例,其中有24例患者在手术中实行喉返的神经解剖,有18例未实行喉返的神经解剖。结果有3例未实行喉返神经解剖的患者出现了暂时性的喉返神经损伤,神经损伤的发生率为16.7%。在实行喉返神经解剖的24例患者中未发生喉返神经损伤。因此,实行喉返神经解剖的患者的神经损伤率小于未实行神经解剖的患者,差异有统计学意义(P<0.05)。结论在复发性甲状腺进行再次手术时,实行喉返神经解剖,可以有效的降低喉返的神经损伤的发生率,具有重要的临床价值。Objective This paper tries to discuss the prevention of recurrent laryngeal nerve injury in reoperation of recurrent thyroid gland.Methods 42 cases of patients from June 2015 to June 2016 in this hospital undergoing recurrent thyroid reoperation were convenient selected,including 24 patients in surgery in the laryngeal nerve,18 cases of recurrent laryngeal nerve anatomy.Results There were 3 cases of recurrent laryngeal nerve anatomy in patients with the implementation of a temporary recurrent laryngeal nerve injury,nerve injury incidence rate of 16.7%.There was no recurrent laryngeal nerve injury in the implementation of 24 cases of nerve in patients.Therefore,the anatomy of recurrent laryngeal nerve in patients with nerve injury was less than patients not implemented nerve anatomy,the difference was statistically significant(P<0.05).Conclusion In the recurrent thyroid reoperation,the implementation of recurrent laryngeal nerve anatomy,can effectively reduce the incidence of recurrent laryngeal nerve injury,which has important clinical value.

关 键 词：复发性甲状腺 再次手术 喉返神经损伤 

分 类 号：R635[医药卫生—外科学]