良性甲状腺疾病术中避免损伤喉返神经的临床分析

Clinical analysis of avoiding recurrent laryngeal nerve injury during operation of benign thyroid diseases

目的总结甲状腺手术避免损伤喉返神经的方法及经验。方法回顾218例良性甲状腺疾病手术的临床资料,分析喉返神经与周围组织的解剖关系。术中均解剖暴露喉返神经(包括喉不返神经1例)并加以保护。结果 218例甲状腺良性疾病中,甲状腺腺瘤28例,结节性甲状腺肿187例,甲状腺机能亢进症1例,桥本甲状腺炎2例;全组无喉返神经损伤。结论在甲状腺良性病变手术中,要熟悉喉返神经的解剖结构、走行方向及其与周围器官的解剖关系,术中仔细寻找并显露好喉返神经,避免损伤。

Objective To summarize the method and experience of avoiding recurrent laryngeal nerve injury during operation of benign thyroid diseases.Methods Retrospectively analysis on the clinical data of 218 cases of surgery of benign thyroid diseases,studying the anatomy of recurrent laryngeal nerve.During operation,the recurrent laryngeal nerve were all exposed and protected.Results Among 218 cases of thyroid diseases,28 were thyroid adenoma,187 Nodular Goiter,1 Hyperthyroidism and 2 Hashimoto thyroiditis.There was no permanent recurrent laryngeal nerve injury in two groups.Conclusion During the operation of thyroid surgery,the operators should be familiar with anatomy of the recurrent laryngeal nerve and its anatomical relationship with the surrounding organs,and the nerve should be carefully identified and exposed,thus the injure of nerve can been avoided.