喉返神经与非返性喉返神经临床应用解剖学研究进展

Advances in clinical applied anatomy of recurrent laryngeal nerve and non-recurrent laryngeal nerve

喉返神经变异复杂,其保护是甲状腺手术的难点。喉返神经损伤导致声音嘶哑,严重影响生活质量,也是医疗纠纷的首要原因之一。非返性喉返神经是喉返神经罕见的解剖变异,是甲状腺手术后声带麻痹的极高危险因素。现就喉返神经和非返性喉返神经走向与分布以及毗邻,并在甲状腺手术中喉返神经保护的现状及进展的临床应用解剖研究加以综述。

The variation of RLN is complex,and its protection is the difficulty in thyroid operation.Laryngeal recurrent nerve injury leads to hoarseness,which seriously affects the quality of life,and is also one of the primary causes of medical disputes.Non-recurrent laryngeal nerve is a rare anatomic variation of recurrent laryngeal nerve and a very high risk factor for vocal cord paralysis after thyroid surgery.In this paper,the trend and distribution of recurrent laryngeal nerve and non recurrent recurrent recurrent laryngeal nerve,as well as the status and progress of its protection in thyroid surgery were studied.