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喉返神经损伤在甲状腺切除术中的预防

The Precaution of Recurrent Laryngeal Nerve Dissection in Thyroid Surgery
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摘要 目的:探讨喉返神经的行走方式,了解甲状腺术中喉返神经损伤的原因及预防方法。方法:67例甲状腺肿瘤患者都行甲状腺手术治疗,共解剖了75侧的喉返神经,其中双侧次全或全切的8例。结果:出现暂时性声嘶3例,其余发音全部正常。结论:熟悉喉返神经的解剖及其变异,术中精细解剖、显露喉返神经是预防喉返神经损伤的有效途径。 Objective: To explore the causes and prevention methods of recurrent laryngeal nerve injury in thyroid surgery. Methods: A total of 67 patients with thyroid neoplasms were dissected by 75 lateral recurrent laryngeal nerve, and underwent thyroidectomy, with 8 cases of bilateral subtotally or total thyroidectomy. Results: There are 3 cases of temporary hiss, and all the other sounds were normal. Conclusion: It is an effective way to prevent recurrent laryngeal nerve injury by analyzing the anatomy and variation of recurrent laryngeal nerve.
出处 《亚洲外科手术病例研究》 2018年第1期1-4,共4页 Asian Case Reports in Surgery
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