甲状腺腺叶切除对喉返神经的影响

Thyroid lobectomy effect on the recurrent laryngeal nerve

目的:探讨甲状腺腺叶切除术与喉返神经损伤的关系。方法:回顾分析我院收治的253例甲状腺腺叶切除患者的临床资料,其中133例患者腺叶切除时显露喉返神经,120例患者不显露喉返神,观察患者术后喉返神经损伤情况。结果:显露组喉返神经损伤率显著低于不显露组(P<0.05)。结论:甲状腺腺叶切除术中解剖显露喉返神经是安全、有效的手术方式,能够降低喉返神经损伤的风险。

Objective： To explore the relationship between thyroid lobectomy and recurrent laryngeal nerve（RLN） injury.Methods： The clinical data of 253 Thyroid lobectomy patients was retrospectively reviewed,Among which 133 cases of thyroid lobectomy had the RLN exposure,120 cases thyroid lobectomy didn＇t.Their prognosis was observed.Results： The injury incidence in the RLN exposure was significantly lower than non-exposure（P 0.05）.Conclusion： Safe and effective,thyroid lobectomy with the RLN exposure can reduce RLN injury.