花生米旋转法骨骼化在甲状腺上极血管蒂保护喉上神经的应用效果  

Application effect of peanut rotation skeletonization on the vascular pedicle of the upper thyroid to protect the superior laryngeal nerve

作　　者：黎钢 李曰祥[2] 黄友芳 张剑[1] 丁勇[2] 肖艳[2] 刘起林[2] 王堂鑫 LI Gang;LI Yue-xiang;HUANG You-fang;ZHANG Jian;DING Yong;XIAO Yan;LIU Qi-lin;WANG Tang-xin(Department of Otorhinolaryngology Head and Neck Surgery,the First Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330000,China;Department of Otorhinolaryngology Head and Neck Surgery,Xingguo People′s Hospital of Ganzhou City,Jiangxi Province,Xingguo 342400,China;Department of Anesthesiology,Xingguo People′s Hospital of Ganzhou City,Jiangxi Province,Xingguo 342400,China)

机构地区：[1]南昌大学第一附属医院耳鼻咽喉头颈外科,江西南昌330000 [2]江西省赣州市兴国县人民医院耳鼻咽喉头颈外科,江西兴国342400 [3]江西省赣州市兴国县人民医院麻醉科,江西兴国342400

出　　处：《中国当代医药》2021年第1期100-103,共4页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2019ZSF440)。

摘　　要：目的探讨花生米旋转法骨骼化在甲状腺上极血管蒂保护喉上神经的应用效果。方法选取2019年1月~2020年2月在江西省赣州市兴国县人民医院耳鼻咽喉头颈外科行甲状腺手术的52例患者作为研究对象,按随机数字表法分为对照组和试验组,每组各26例。对照组实施类固醇激素保护法;试验组实施花生米旋转保护法。比较两组患者的喉上神经功能损伤发生率、喉上神经功能恢复时间、并发症发生情况、治疗前后生活质量评分及治疗满意度情况。结果试验组的喉上神经功能损伤发生率低于对照组,喉上神经功能恢复时间短于对照组,差异均有统计学意义(P<0.05)。试验组的并发症总发生率低于对照组,差异有统计学意义(P<0.05)。治疗前,两组的生活质量评分比较,差异无统计学意义(P>0.05)。治疗后,试验组的生活质量评分高于对照组,治疗总满意度高于对照组,差异均有统计学意义(P<0.05)。结论花生米旋转法骨骼化在甲状腺上极血管蒂保护喉上神经的应用效果良好,且安全性较高。Objective To explore the application effect of peanut rotation skeletalization on the vascular pedicle of the upper thyroid to protect the superior laryngeal nerve.Methods A total of 52 patients who underwent thyroid surgery in the Department of Otorhinolaryngology Head and Neck Surgery,Xingguo People′s Hospital from January 2019 to February 2020 were selected as the research objects.According to the random number table method,they were divided into the control group and the experimental group,with 26 cases in each group.The control group received steroid protection;the experimental group received peanut rotation protection.The incidence of supralaryngeal nerve function damage,supralaryngeal nerve function recovery time,complication rate,quality of life score before and after treatment and therapeutic satisfaction were compared between the two groups.Results The incidence of supralaryngeal nerve damage in the experimental group was lower than that of the control group,the recovery time of supralaryngeal nerve function was shorter that of the control group,the differences were statistically significant(P<0.05).The total incidence of complications in the experimental group was lower than that in the control group,the difference was statistically significant(P<0.05).Before treatment,there were no statistically significant differences in the quality of life scores of the two groups(P>0.05).After treatment,the quality of life scores of the experimental group were higher than those of the control group,the total therapeutic satisfaction was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion The application of peanut rotation skeletalization in the vascular pedicle of the upper thyroid to protect the superior laryngeal nerve obtains good effect and high safety.

关 键 词：花生米旋转法 甲状腺 上极血管蒂 喉上神经 基层医院 

分 类 号：R653[医药卫生—外科学]