显露喉返神经用于甲状腺手术的临床价值研究

目的研究显露喉返神经在甲状腺手术中的临床应用价值。方法回顾性分析2011年1月至2014年7月收治的150例甲状腺手术患者的临床资料．根据术中是否显露喉返神经分为观察组（全部为喉返神经显露患者）与对照组（全部为非喉返神经显露患者）．对比两组患者术中情况、喉返神经损伤情况和暂时性喉返神经损伤恢复情况。结果观察组患者手术用时（47．5±2．8）min、术中出血量（35．2±1．5）mL和住院时间（8．4＋0．5）d均少于对照组。两组患者治疗3个月后随访，由随访结果可知，观察组患者的喉返神经损伤率为4．00％．对照组患者的喉返神经损伤率为13．33％，差异有统计学意义（P〈0．05）；观察组患者无永久性喉返神经损伤，对照组患者的永久性喉返神经损伤率为2．67％。在恢复时间上比较，观察组的（10．3±0．8）d明显优于对照组的（14．5±2．8）d（P〈0．05）。结论显露喉返神经可在甲状腺手术中保护喉返神经，降低喉返神经损伤的发生率。

Objective To study the clinical value of the recurrent laryngeal nerve revealed thyroid surgery. Methods A retrospective analysis of clinical data Tangshan Caofeidian District Hospital general surgery ward in January 2011 to July 2014 were treated 150 patients with thyroid surgery, according to whether or not to reveal recurrent laryngeal surgery divided into two groups （all throat Shuttle nerve exposed patients） and control group （all non-recurrent laryngeal nerve exposed patients）, compared to patients in the two groups of patients, the recurrent laryngeal nerve injury and transient recurrent laryngeal nerve injury recovery. Results The surgery when patients （47.5±2.8）m, blood loss （35.2±1.5）mL and hospital stay （8.4±0.5）d were less than the con- trol group. After treatment, patients were followed up after March, the follow-up results, observe the group of patients with recurrent laryngeal nerve injury rate of 4.00% in the control group of patients with recurrent laryngeal nerve injury rate of 13.33%, the difference was statistically significant（P 〈 0.05 ）; observation group were no permanent recurrent laryngeal nerve injury, permanent recurrent laryngeal nerve injury control group of patients was 2.67%. Comparison of the recovery time, the observation group （10.3±0.8d） than the control group （14.5±2.8）d, the difference was statistically significant（P 〈 0.05）. Conclusion reveal- ing RLN can protect the recurrent laryngeal nerve in thyroid surgery, reduce the incidence of recurrent laryngeal nerve injury.