显露喉返神经在甲状腺手术中的意义探讨

The significance of exposure of recurrent laryngeal nerve in thyroid surgery

目的探讨在甲状腺手术中显露喉返神经的意义。方法回顾性分析因甲状腺疾病行手术治疗的1 082例患者的临床资料。结果所有患者均常规解剖并显露喉返神经。手术并发症有喉返神经损伤6例(0.5%),甲状旁腺功能减退3例(0.3%),喉上神经损伤2例(0.2%)。甲状腺手术并发症的发生率与术中是否显露喉返神经有密切关系。结论甲状腺手术中显露喉返神经是降低甲状旁腺、喉上神经和喉返神经损伤的重要措施。

Objective To study the significance of dissection and exposure of the recurrent laryngeal nerve （RLN） in thyroid surgery. Methods The clinical data of 1 082 patients who had undergone operations on thyroid were retrospectively reviewed. All cases were routinely operated with dissection and exposure of RLN. Results Six cases had injury of RLN （ 0. 5 % ） , 3 cases showed parathyroid insufficiency （ 0. 3 % ） and 2 cases had injury of the superior laryngeal nerve （0. 2% ） offer operation. The incidence of operative complications in thyroid surgery was closely related with if exposure of the RLN. Conclusions Exposure of the recurrent laryngeal nerve is a key measure to decrease injury of parathyroids, superior laryngeal nerve and recurrent laryngeal nerve during thyroid surgery.