甲状腺癌术中不同方法预防喉返神经损伤的效果比较

Comparison of Efficacy of the effects of different methods to Prevention Recurrent laryngeal nerve injury in thyroid cancer surgery

目的探讨比较在甲状腺癌术中采用两种不同方法对喉返神经(RLN)损伤的预防效果。方法选取2012年1月~2019年4月在我院实施手术治疗的76例甲状腺癌患者,按照术中是否显露RLN分为显露组和非显露组,各38例。观察并详细记录两组患者在手术时间、术中出血量、术后引流量方面的差异及暂时性和永久性RLN损伤发生率情况。结果显露组手术时间明显长于非显露组;术中出血量、术后引流量均明显少于非显露组;两组比较差异具有统计学意义(P<0.05)。显露组暂时性和永久性RLN损伤的发生率明显低于非显露组,两组总损伤率比较差异有统计学意义(P<0.05)。结论相比于不显露RLN治疗,甲状腺癌术中显露RLN治疗能够获得更加显著的治疗效果,不仅可以减少术中出血量和术后引流量,同时还能够有效降低RLN损伤发生率。

Objective To compare the preventive effect of two different methods on recurrent laryngeal nerve(RLN)injury in thyroid carcinoma.Methods A total of 76 patients with thyroid cancer underwent surgical treatment in our hospital from January 2012 to April 2019 were selected,and 38 patients were divided into the exposed group and the non-exposed group according to whether the RLN was exposed during the operation.The differences in operation time,intraoperative blood loss,postoperative drainage volume and the incidence of temporary and permanent RLN injury were observed and recorded in detail.Results The operative time of the exposed group was longer than that of the non-exposed group.Intraoperative blood loss and postoperative drainage were significantly less than those in the non-exposed group.The difference between the two groups was statistically significant(P<0.05).The incidence of temporary and permanent RLN injury in the exposure group was significantly lower than that in the non-exposure group,and the difference in total injury rate between the two groups was statistically significant(P<0.05).Cornclusions Compared with the treatment without RLN exposure,intraoperative exposure of RLN for thyroid cancer can achieve more significant therapeutic effects,which can not only reduce intraoperative blood loss and postoperative drainage volume,but also effectively reduce the incidence of RLN injury.