探究甲状腺癌全切术中应用精细化甲状腺被膜解剖技术对患者喉返神经的影响  

Effect of meticulous capsular dissection on recurrent laryngeal nerve in patients undergoing total thyroidectomy

作　　者：焦伟 王君 戚波 JIAO Wei;WANG Jun;Qi Bo(Department of General Surgery,Shizhong District People's Hospital,Zaozhuang 277101,China)

机构地区：[1]枣庄市市中区人民医院普外科,277101

出　　处：《中国实用医药》2024年第11期68-70,共3页China Practical Medicine

摘　　要：目的 分析甲状腺癌全切术中应用精细化甲状腺被膜解剖技术的临床价值。方法 60例甲状腺癌患者,按随机数字表法分为对照组和观察组,各30例。对照组给予传统甲状腺癌全切术,观察组在甲状腺癌全切术中应用精细化甲状腺被膜解剖技术。对比两组手术相关指标、并发症发生情况。结果 观察组术中出血量(26.31±2.29)ml少于对照组的(40.46±4.57)ml,手术时间(54.26±5.08)min、喉返神经功能恢复时间(26.37±2.59)d短于对照组的(63.89±7.31)min、(58.59±6.48)d,有统计学差异(P<0.05);观察组术后并发症发生率为6.67%(2/30),低于对照组的26.67%(8/30),有统计学差异(P<0.05)。结论 甲状腺癌全切术中应用精细化甲状腺被膜解剖技术效果显著,能够减少患者出血量,缩短手术时间,促进甲状腺癌患者术后喉返神经功能恢复,且并发症较少,具有一定的应用价值,值得临床推广。Objective To analyze the clinical value of meticulous capsular dissection on recurrent laryngeal nerve in patients undergoing total thyroidectomy.Methods 60 patients with thyroid cancer were divided into a control group and an observation group according to random number table method,with 30 cases in each group.The control group was treated with conventional total thyroidectomy,and the observation group applied meticulous capsular dissection during total thyroidectomy.The operation related indexes and complications were compared between the two groups.Results The observation group had less intraoperative blood loss of(26.31±2.29)ml than(40.46±4.57)ml in the control group;the operation time of the observation group was(54.26±5.08)min and the recovery time of recurrent laryngeal nerve function was(26.37±2.59)d,which were shorter than(63.89±7.31)min and(58.59±6.48)d in the control group;there was a statistical difference(P<0.05).The incidence of postoperative complications in the observation group was 6.67%(2/30),which was lower than 26.67%(8/30)in the control group,and there was a statistical difference(P<0.05).Conclusion The application of meticulous capsular dissection in total thyroidectomy has significant effects,which can reduce the blood loss of patients,shorten the operation time,promote the recovery of recurrent laryngeal nerve function of thyroid cancer patients,and there are fewer complications.It has a certain application value and is worthy of clinical promotion.

关 键 词：甲状腺癌 甲状腺癌全切术 精细化甲状腺被膜解剖技术 喉返神经 并发症 

分 类 号：R736.1[医药卫生—肿瘤]