摘要
目的:探讨甲状腺手术中显露喉返神经(RLN)的意义。方法:将2013年5月—2016年5月接受甲状腺手术治疗的88例甲状腺疾病患者,按照入院顺序抽签后随机平均分为观察组和对照组,患者均进行气管内插管全身麻醉,取颈部横切口。观察组采取显露喉返神经手术,对照组采取未显露喉返神经手术。观察两组患者手术效果以及喉返神经损伤情况。结果:观察组手术总有效率为100.00%,高于对照组的90.91%,两组比较,差异有统计学意义(P<0.05);观察组喉返神经损伤情况发生率为2.27%,低于对照组的13.64%,两组比较,差异有统计学意义(P<0.05);观察组初次手术者喉返神经损伤情况发生率为2.27%,低于对照组的6.82%,两组比较,差异有统计学意义(P<0.05);观察组再次手术者喉返神经损伤情况发生率为0,低于对照组的6.82%,两组比较差异有统计学意义(P<0.05)。结论:甲状腺手术中显露喉返神经有重要意义,能够显著降低喉返神经损伤发生率,对于初次手术者和再次手术者均有效果。
Objective:To explore the significance on recurrentl aryngealnerve by thyroid surgery. Methods:Eighty - eight cases of patients with thyroid surgery were randomly divided into experiment group and control group,they were endotracheal intubation general anesthesia,take the neck crosscutting. The experiment group were treated by recurrentl aryngealnerve,the control group were treated by no - recurrentl aryngealnerve. The effect and aryngealnerve damage situation of the two groups were observed. Results:The total effective rate of operation for the experiment group(100. 00% )were higher than the control group(90. 91% )(P 〈 0. 05). The rate of aryngealnerve damage for the experiment group(2. 27% )were lower than the control group(13. 64% )(P 〈 0. 05). The rate of aryngealnerve damage on first operation for the experiment group(2. 27% )were low-er than the control group(6. 82% )(P 〈 0. 05). The rate of aryngealnerve damage on second operation for the experiment group (0)were lower than the control group(6. 82% )(P 〈 0. 05). Conclusion:It has significance on recurrentl aryngealnerve by thyroid surgery,it can reduce the aryngealnerve damage situation,for the first time operation and reoperation are effect.
出处
《临床医药实践》
2016年第11期808-810,共3页
Proceeding of Clinical Medicine
基金
新余市科技计划项目(项目编号:20143090856)
关键词
甲状腺手术
显露喉返神经
意义
thyroid surgery
recurrentl aryngealnerve
significance