喉返神经解剖在甲状腺手术中的意义

The significance of anatomizing the recurrent laryngeal nerve in the thyroid surgery

目的探讨喉返神经解剖在甲状腺手术中的意义及在预防喉返神经损伤中的作用。方法分析125例甲状腺手术常规行喉返神经解剖;55例按传统方法仅行肿块切除而不解剖喉返神经。结果125例甲状腺手术常规行喉返神经解剖中,喉返神经损伤2例,无永久性损伤;55例按传统方法仅行肿块切除而不解剖喉返神经中,喉返神经损伤5例,永久性损伤2例。结论建议甲状腺手术应常规行喉返神经解剖,能减少喉返神经的损伤。

Objective：To study the significance of anatomizing the recurrent laryngeal nerve （RLN） in the thyroid surgery and the function to prevent the injury of the RLN. Methods： To analyze 125 cases thyroid surgery with RLN anatomy; 55 cases thyroid sargery with only tumor excision without RLN anatomy. Results： Among 125 cases thyroid surgery with RLN anatomy , the nerve injury developed in 2 cases, no permanent injury; 55 cases thyroid surgery without RLN anatomy , the nerve injury decvelpoed in 5 cases, permanent injury develpoed in 2 cases. Condusion ：In thyroid surgery RLN anatomy should be performed, injury of the RLN could be reduced.