甲状腺腺叶切除手术中显露喉返神经临床分析

Clinical Analysis of Revealed Recurrent Laryngeal Nerve in Thyroid Gland Surgery

目的:观察甲状腺腺叶切除手术采用显露喉返神经应用效果。方法:将150例甲状腺腺叶切除患者分为两组,80例显露喉返神经组和70例术中未显露喉返神经组。两组均施行甲状腺腺叶切除手术,术后6个月观察两组并发症发生情况。结果:术后随访6个月,未显露喉返神经组发生并发喉返神经损伤6例,永久性损伤1例;喉上神经损伤5例;甲状旁腺功能减退3例,并发症总发生率为21.43%;显露喉返神经组发生并发喉返神经损伤3例,均为暂时性损伤;且没有喉上神经损伤病例和甲状旁腺功能减退病例,并发症总发生率为3.75%。结论:甲状腺腺叶切除手术中显露喉返神经有效地减小并发症的发生。

Objective： To observe the effect of thyroid gland surgery revealed recurrent laryngeal nerve. Method： 150 cases of thyroid gland lobectomy patients were divided into two groups,80 patients exposed group and 70 cases without exposing intraoperative recurrent laryngeal nerve group.Both groups were implemented thyroid gland lobectomy,of complications were observed 6 months after the occurrence. Result： The patients were followed up for 6 months,There＇re 6 cases with recurrent laryngeal nerve injuried;permanent injury in 1 case;laryngeal nerve injury in 5 cases;hypoparathyroidism in 3 cases in exposed group,the overall incidence of complications was 21.43%;group revealed recurrent laryngeal nerve recurrent laryngeal nerve injury in 3 cases of concurrent occurrence,all were temporary injury;without laryngeal nerve injury cases or cases of hypoparathyroidism,the total complication rate was 3.75%. Conclusion： The resection of the thyroid gland revealed recurrent laryngeal nerve effectively reduce the incidence of complications.