不同喉返神经显露途径在甲状腺再手术中的临床应用  

Clinical Application of Revealing Recurrent Laryngeal Nerve in Thyroid Reoperation

作　　者：刘黎明 张德言 董小娟 沈玲玲 Liu Liming;Zhang Deyan;Dong Xiaojuan;Shen Lingling(Department of General Surgery,Xuchang Hospital,Xuchang Henan 461000,China)

机构地区：[1]河南许昌市许昌医院外四科,许昌461000

出　　处：《河南外科学杂志》2020年第5期19-21,共3页Henan Journal of Surgery

摘　　要：目的探讨不同喉返神经(RLN)显露途径在甲状腺再手术中的临床效果。方法回顾性分析2015-11—2019-12间许昌市许昌医院普通外科实施的59例甲状腺再手术患者。根据RLN显露途径不同分为甲状腺下动脉组30例和甲状软骨下角组29例,比较2组在寻找RLN时间和RLN损伤发生率。结果甲状软骨下角组寻找RLN用时间短于甲状腺下动脉组,差异有统计学意义(P<0.05);2组RLN损伤发生率差异无统计学意义(P>0.05)。结论甲状腺再手术时应常规显露RLN以减少其损伤的发生风险,术中需根据情况,在直视下灵活选择不同途径进行显露。Objective To explore the clinical application value of revealing recurrent laryngeal nerve(RLN)in thyroid reoperation.Methods Retrospective analysis of 59 patients undergoing general surgery in Xuchang Hospital from 2015-11 to 2019-12.There were 30 cases of subthyroid artery group and 29 cases of subchondral thyroid group according to the RLN exposure pathway.Results The search time for RLN in subchondral thyroid group was shorter than that of subthyroid artery group,the difference was statistically significant(P<0.05),and the incidence of RLN injury in group 2 was not statistically significant(P>0.05).Conclusion During thyroid reoperation RLN the thyroid gland should be exposed normally to reduce the risk of injury.According to the situation,different ways should be chosen flexibly to expose the thyroid gland.

关 键 词：甲状腺 再手术 喉返神经 并发症/预防 

分 类 号：R653[医药卫生—外科学]