甲状腺二次手术喉返神经损伤相关危险因素分析

Risk factors of recurrent laryngeal nerve injury in secondary thyroid surgery

目的探讨甲状腺二次手术喉返神经损伤相关危险因素。方法回顾性纳入甲状腺二次手术患者62例的病例资料,应用Logistic分析喉返神经损伤的相关危险因素。结果损伤组和非损伤组在肿瘤性质、术中是否暴露喉返神经上,有差异(P<0.05)。Logistic分析提示恶性肿瘤、未暴露喉返神经均为喉返神经损伤的危险因素(P<0.05)。结论甲状腺二次手术喉返神经损伤与肿瘤性质、暴露喉返神经有关,对此类高危人群要尤为重视。

Objective To investigate the risk factors of recurrent laryngeal nerve injury in secondary thyroid surgery.Methods A total of 62 patients with secondary thyroidectomy were enrolled in this study.Results There were significant differences in the nature of tumor and exposure of recurrent laryngeal nerve between injury group and non injury group (P<0.05).Logistic analysis showed that malignant tumor and unexposed recurrent laryngeal nerve were risk factors of recurrent laryngeal nerve injury (P<0.05).Conclusion Recurrent laryngeal nerve injury in secondary thyroid surgery is related to the nature of tumor and exposure of recurrent laryngeal nerve.