常规显露喉返神经在甲状腺手术中的应用研究

目的探讨甲状腺术中喉返神经的显露方法及常规显露喉返神经的临床意义。方法回顾性分析2011年1月至2015年12月280例甲状腺手术的临床资料，其中未显露喉返神经组140例（对照组），常规显露喉返神经组140例（观察组），比较两组在切口长度、手术时间、术中出血量、引流总量、术后住院时间及住院总时间、喉返神经损伤率差异。结果常规显露喉返神经组其损伤率低于未显露喉返神经组，两组比较差异有统计学意义（P〈0．05）。结论甲状腺手术中常规显露喉返神经可较好的降低神经损伤率，具有一定的临床应用价值。

Objective To discuss the routes and clinical significance of the routine exposure of recurrent laryngeal nerve in thyroid operation. Methods Retrospective analysis was done on the clinical data of 280 cases of thyroid operation during the period form January 2011 to December 2015 in our hospital.All cases classified into the non-exposure group （ 140 cases ） and the exposure group （ 140cases ） .Length of incision, operation time, blood loss, fluid volume, hospital stay after operation, total time in hospital, injury rate of recurrent laryngeal nerve were compared. Results The injury rate of recurrent laryngeal nerve in exposure group was lower than non-exposure group （ P〈0.05 ） . Conclusion Exposure of the recurrent laryngeal nerve can reduce the injury rate of recurrent laryngeal nerve in thyroid operation, it has certain clinical application.