甲状腺手术致喉返神经损伤的预防

Prevention of thyroid gland surgery making the throat return to the neurotrosis

目的:探讨甲状腺手术中喉返神经损伤的预防措施。方法:对施行的甲状腺手术218例进行回顾性分析。结果:218例甲状腺手术中,发生喉返神经损伤5例,发生率为2.3%。结论:甲状腺手术致喉返神经的预防,关键在于术中预防,术中不必常规显露喉返神经,应以个体化方案为宜,即根据病种、病理情况、手术部位决定是否显露喉返神经。

Objective To explore the preventive measures of thyroid gland surgery making the throat return to the neurotrosis. Methods 218 cases with thyroid gland surgery were retrospectively analyzed. Results Of 218 cases, there were 5 cases of the throat returning to the neurotrosis, and the incidence rate was 2.3%. Conclusion The key of prevention lies in the technique in operation, which does not need the convention to reveal the throat returning to the nerve and should adopt the individual plan, such as namely plants, the pathology situation, the surgery spot, and decide whether the throat returning to the nerve should be revealed.