探讨高风险甲状腺手术中显露喉返神经对预防喉返神经受损的临床作用

Clinical effect investigation of revealing recurrent laryngeal nerve in the prevention of recurrent laryngeal nerve injury in high-risk thyroid surgery

目的探讨高风险甲状腺手术中显露喉返神经对预防喉返神经受损的临床作用。方法选取我院2014年1月至2016年5月收治的实施高风险甲状腺手术患者60例为研究对象,随机分为试验组与对照组,各30例。对照组采取常规手术方法,试验组在高风险甲状腺手术中显露喉返神经。对比两组手术时间、术中出血量、术后引流时间、术后引流量及喉返神经受损情况。结果试验组喉返神经受损总发生率明显低于对照组,差异显著(P<0.05);试验组的手术时间明显长于对照组,差异显著(P<0.05)。两组的术中出血量、术后引流时间、术后引流量比较,差异无统计学意义(P>0.05)。结论高风险甲状腺手术中良好地显露喉返神经有利于降低喉返神经受损的发生率,对预防喉返神经受损有着积极作用,值得临床推广。

Objective To investigate the clinical effect of revealing recurrent laryngeal nerve in the prevention of recurrent laryngeal nerve injury in high-risk thyroid surgery.Methods Sixty patients undergoing high-risk thyroid surgery inour hospital from January 2014 to May 2016 were selected as subjects and divided into experimental group and control group according to the principle of randomization,with 30 cases in each group.The control group was treated with conventional operation,the experimental group exposed the recurrent laryngeal nerve in high-risk thyroid surgery.The operation time,loss of intraoperative blood,postoperative drainage time,postoperative drainage volume and injury of recurrent laryngeal nerve of the two groups were compared.Results The total incidence rate of recurrent laryngeal nerve injury in the experimental group was significantly lower than that in the control group(P<0.05).The operation time of the experimental group was significantly longer than that of the control group(P<0.05).There was no significant difference in the loss of intraoperative blood,postoperative drainage time and drainage volume(P>0.05).Conclusion Good exposure of the recurrent laryngeal nerve in high-risk thyroid surgery is beneficial to reducing the incidence of recurrent laryngeal nerve injury,with positive effect in prevention of recurrent laryngeal nerve injury,and is worthy of clinical promotion.