甲状腺手术并发喉返神经损伤的原因分析及预防措施(附320例分析)

Analysis on the cause of recurrent laryngeal nerve injury in thyroid surgery and its preventive measures(an analysis on 320 cases)

目的:探讨甲状腺手术并发喉返神经损伤的原因及预防措施。方法:收治甲状腺手术患者320例,总结喉返神经损伤率,分析相关因素。结果:总喉返神经损伤率5%,显露喉返神经的显露组损伤率明显低于未显露组(P<0.05);不同甲状腺手术方式喉返神经损伤率有差异,以甲状腺全切除损伤率最高。结论:在甲状腺手术中选择合理手术方式,注意操作技巧,主动显露喉返神经,可以有效降低喉返神经的损伤率,改善患者生活质量。

Objective:To investigate the causes and preventive measures of recurrent laryngeal nerve injury in thyroid surgery.Methods:320 patients with thyroid surgery were treated,and the rate of recurrent laryngeal nerve injury was summarized and the related factors were analyzed.Results:The total recurrent laryngeal nerve injury rate was 5%.The rate of injury in the recurrent laryngeal nerve group was significantly lower than that in the unexposed group(P<0.05).The rate of recurrent laryngeal nerve injury was different among different thyroid surgical procedures,and the total thyroidectomy rate was the highest.Conclusion:In the thyroid surgery,we should choose a reasonable operation mode,pay attention to the operative skills,and expose the recurrent laryngeal nerve,which can effectively reduce the injury rate of the recurrent laryngeal nerve,and improve the life quality of patients.