甲状腺手术中喉返神经解剖变异特征及显露方法的再认识

Re-recognition of anatomical variation features of recurrent laryngeal nerve and its exposure methods in thyroid surgery

喉返神经(RLN)的显露与保护是甲状腺手术质量与安全的重要保证。由于RLN本身解剖变异,医源性损害,导致术中、术后RLN暂时或永久性损伤,影响了甲状腺患者术后生活质量及疾病预后。笔者结合文献及临床实际工作经验,分别阐述RLN解剖变异特征及5种不同RLN显露方法适应证及手术技巧。

Better exposure and protection of recurrent laryngeal nerve （RLN） are critical to ensure the quality and safety of thyroid surgery. The temporary or permanent RLN injury during or after operation caused by anatomical variations of the R_LN and iatrogenic damage may affect the patients＇ quality of life and the prognosis of the disease. Here, the authors, based on literature review and experiences of clinical practice, address the anatomical variation features of the RLN and the indications and surgical techniques for five different exposure methods of the RLN.