显露喉返神经在甲状腺手术中的意义

The significance of anatomizing the recurrent laryngeal nerve in the thyroidectomy

目的:探讨显露喉返神经在甲状腺手术中的意义。方法:回顾性分析我科收治的共332例甲状腺手术患者的资料,全部患者均在全身麻醉下进行,术中均解剖术侧喉返神经。单侧腺叶切除131例,双侧次全切除138例,单侧腺叶切除加对侧腺叶次全切除51例,双侧甲状腺全切术12例。结果:手术过程中共533条喉返神经主干均得到很好的显露,术后共4例(0.75%)出现声嘶,无麻醉插管引起,均为单侧声带固定,行激素、营养神经药物等治疗,均在3个月内恢复,无永久性损伤。结论:在行甲状腺手术时,结合运用多种解剖喉返神经的方法,能够有效避免喉返神经的损伤。

Objective：To study the significance of exposure of the recurrent laryngeal nerve（RLN ） in thyroidgland surgery. Mcthod：Three hundred and thirty two thyroidectomy cases were studied from January 2008 to June 2011. All patients had general anesthesia, and RLN were exposed during operation. One hundred and thirty one cases were operated with total lobectomies, 138 cases with subtotal thyroidectomy, 51 cases with total lobectomies and contralateral subtotal thyroidectomy, 12 cases with total thyroidectomy. Result： Five hundred and thirtythree RLNs were exposed, 4 cases came with hoarseness postoperatively, All cases recovered within 3 months. Conclusion. Exposure the recurrent laryngeal nerve in the thyroidectomy was available and could protect RLN.