摘要
目的探讨显露喉返神经在甲状腺手术中的应用价值。方法对3216例行甲状腺切除术病人的临床资料进行了回顾性分析,其中术中显露喉返神经1447例,不显露喉返神经1769例。结果显露喉返神经组喉返神经永久性损伤3例,损伤率为0.20%;不显露喉返神经组喉返神经永久性损伤13例,损伤率为0.73%。两者之间差异有显著性(χ2=4.47,P<0.05)。结论甲状腺手术中主动显露喉返神经是避免其损伤的可靠保证,同时对喉返神经分支及形态变异要有充分认识。
Objective To evaluate the value of exposing recurrent laryngeal nerve （RLN） during thyroid surgery. Methods The clinical data of 3 216 patients underwent thyroidectomy were analyzed retrospectively, in which, RLN was exposed in 1 447 cases, and RNL in 1 769 was not exposed. Results Three （0.20%） and thirteen （0.73%） suffered from RLN injury in exposure group and in non-exposure group, respectively （Х^2=4.47 ,P〈0.05）. Conclusion Routine exposure of recurrent laryngeal nerve during thyroid resection reduces the risk of the nerve injury. To avoid this risk, fully aware of the ramifications and variations of the nerve is needed.
出处
《齐鲁医学杂志》
2007年第1期44-45,共2页
Medical Journal of Qilu
关键词
甲状腺疾病
甲状腺切除术
喉返神经
thyroid diseases
thyroidectomy
recurrent laryngeal nerve
