摘要
喉返神经损伤是甲状腺手术的一个重要并发症,如何避免喉返神经损伤成为甲状腺手术的难点,以往通常采取保留部分背侧甲状腺组织方法避免喉返神经损伤,近年来一些研究显示,解剖喉返神经能够减少喉返神经损伤,同时做到甲状腺全切术中真正的甲状腺全切。因此,建议与喉返神经关系密切的手术,尤其甲状腺全切术时采取解剖喉返神经以减少喉返神经损伤的发生。
The injury of recurrent laryngeal nerve(RLN)is a serious surgical complication in thyroid gland surgery.Therefore,how to avoid the iatrogenic injury of RLN has been always challenging thyroid gland surgery.In previous practice,some dorsal thyroid tissues are usually preserved to avoid the injury of RLN.Some recent studies show that the dissection of RLN can minimize the occurrence of RLN injury and allow the exact total thyroidectomy.Therefore,it is advisable that the dissection of RLN should be performed to minimize the occurrence of RLN injury in surgeries involving RLN,especially total thyroidectomy.
出处
《医学综述》
2011年第4期588-590,共3页
Medical Recapitulate
关键词
甲状腺
手术
喉返神经
解剖
Thyroid gland
Surgery
Recurrent laryngeal nerve
Dissection