显露喉返神经在甲状腺手术中的意义

Significance of exposure of recurrent laryngeal nerve in the thyroid surgery

目的探讨甲状腺手术中避免喉返神经损伤的方法。方法甲状腺手术（术中解剖喉返神经）患者362例，其中单侧甲状腺次全切除或全切术188例，双侧甲状腺大部分切除或次全切除术127例，单侧甲状腺全切加峡部切除术31例，甲状腺癌根治术16例。结果362例甲状腺手术中除3例为术中解剖喉返神经时钳夹引起声嘶、术后经营养神经药物治疗、术后2周后痊愈外，余未见喉返神经损伤。结论甲状腺手术患者术中解剖喉返神经有助于避免或减少喉返神经损伤。

Objective To discuss the method of preventing injury of recurrent laryngeal nerve in thyroid surgery. Methods 362 cases of thyroid operation in our hospital were retrospectively studied, which consists of 188 cases with single lateral partial or total thyroidectomy, 127 with double lateral partial thyroidectomy, 31 with single lateral total thyroidectomy plus isthmectomy, 16 with thyroid carcinoma radical correction. Results There was no injury, except for 3 cases damage to validate the recurrent laryngeal nerve in thyroid surgery, which were fully recovered after treatment. Conclusion To dissect recurrent laryngeal nerve routinely in inthyroid surgery can prevent and reduce the injury.