甲状腺手术治疗中暴露喉返神经对患者喉返神经的保护价值及并发症的影响  

The Protective Value and Complications of Recurrent Laryngeal Nerve Exposure during Thyroid Surgery

作　　者：朱永光 周宏[2] 李润铭 Zhu Yongguang(Department of Surgery,Xinhui Chenjinglun Hospital,Jiangmen city,Guangdong Province,Xinhui Jiangmen Guangdong 529100)

机构地区：[1]广东省江门市新会陈经纶医院外科 [2]广东省江门市新会区人民医院普外科,广东江门新会529100

出　　处：《黑龙江医药》2022年第2期416-418,共3页Heilongjiang Medicine journal

摘　　要：目的:观察甲状腺手术治疗中暴露喉返神经对患者喉返神经的保护价值及并发症的影响。方法:选取2017年1月—2018年12月于江门市新会区人民医院进行甲状腺手术治疗的90例患者,根据手术操作的差异分为观察组与对照组。观察组均于手术治疗中暴露喉返神经;观察组手术治疗中不暴露喉返神经。比较两组各项临床指标、喉返神经损伤发生率及其他并发症发生率的差异。结果:观察组手术时间长于对照组,住院时间短于对照组,住院费用低于对照组,差异有统计学意义(P<0.05);观察组患者术后喉返神经损伤发生率为5.77%,低于对照组患者的23.68%,差异有统计学意义(P<0.05);观察组患者术后甲亢复发率为1.92%,低于对照组患者的13.16%,差异有统计学意义(P<0.05)。结论:甲状腺手术治疗中暴露喉返神经可有效避免喉返神经损伤情况发生,同时还能缩短其住院时间,减少住院费用,该手术治疗甲状腺病灶更加彻底,值得临床推广。Objective:To observe the protective value and complications of recurrent laryngeal nerve exposure during thyroid surgery.Methods:A total of 90 patients who underwent thyroid surgery in People's Hospital of Xinhui District,Jiangmen city from January 2017 to December 2018 were selected and divided into observation group and control group according to the difference of surgical operations.The recurrent laryngeal nerve was exposed in the observation group.The recurrent laryngeal nerve was not exposed in the observation group.The clinical indicators,incidence of recurrent laryngeal nerve injury and other complications were compared between the two groups.Results:The operation time of observation group was longer than control group,hospitalization time was shorter than control group,hospitalization cost was lower than control group,the difference was statistically significant(P<0.05);The incidence of recurrent laryngeal nerve injury in the observation group was 5.77%,lower than that in the control group(23.68%),and the difference was statistically significant(P<0.05).The recurrence rate of postoperative hyperthyroidism in the observation group was 1.92%,lower than that in the control group(13.16%),and the difference was statistically significant(P<0.05).Conclusion:Exposure of the recurrent laryngeal nerve during thyroid surgery can effectively avoid the injury of the recurrent laryngeal nerve,shorten the length of hospital stay and reduce the hospitalization cost.The operation is more thorough in the treatment of thyroid lesions and worthy of clinical promotion.

关 键 词：甲状腺手术 喉返神经 暴露 保护价值 并发症 

分 类 号：R581[医药卫生—内分泌]