甲状腺手术中显露喉返神经的意义

Thyroid Surgery to Show the Clinical Value of the Recurrent Laryngeal Nerve

目的:探讨甲状腺手术中显露喉返神经的临床应用价值。方法:将甲状腺手术患者286例随机分为显露喉返神经组与非显露喉返神经组,对两组手术中及手术后喉返神经损伤情况进行对照研究。结果:显露组喉返神经损伤2例,未显露组损伤11例,显露组发生喉返神经损伤率显著低于未显露组(P<0.05)。结论:甲状腺手术中显露喉返神经可以有效保护喉返神经并预防喉返神经损伤。

Objective：To study the clinical value of exposure,recurrent laryngeal nerve in thyroidectomy. Methods：Consecutive 286 patients requiring thyroidectomy were enrolled in this clinical random ized control trial.They were randomly clivided into two groups exposure recurrent taryngeal nerve group and non-exposure recurrent laryngeal nerve group by a sealed envelope method of 138 patients were exposed recurrent laryngeal nerve in thyroidectomy and 148 patidets were not exposed recurrent laryngeal nerve routinely. Results：Group revealed 2 cases of recurrent laryngeal nerve injury,the injury did not reveal group 11 group to show the probability of occurrence of recurrent laryngeal nerve injury was significantly lower than non-exposed group（P0.05）. Conclusions：Exposure recurrent laryngeal nerve is not only the effective measure for protection but also for the best prevention of recurrent laryngeal nerve from injury in thyroidectomy.