中间入路解剖喉返神经在甲状腺手术中的应用

Medial approach for recurrent laryngeal nerve dissection in thyroid surgery

目的探讨甲状腺手术中采用中间入路解剖喉返神经的价值。方法回顾性分析368例甲状腺手术中采用中间入路解剖喉返神经的患者资料,观察术后喉返神经损伤情况。结果暂时性喉返神经损伤2例(0.54%),无永久性损伤病例。结论中间入路解剖喉返神经,能减少喉返神经的损伤,是预防其损伤的有效方法。

Objective To assess the value of medial approach for recurrent laryngeal nerve （ RLN ） dissection during thyroid surgery. Methods The data of 368 patients undergoing thyroid surgery with RLN dissection through medial approach were retrospectively analyzed to assess the incidence of RLN injury after the procedure. Results Of the patients, 2 cases （0.54%） had transient RLN injury and no permanent RLN injury occurred. Conclusions Medial approach for RLN dissection can decrease the incidence of RLN injury, and is an effective method to prevent RLN injury in thyroid surgery.