To determine the value of dissecting the recurrent laryngeal nerve during thyroid surgery with respect to preventing recurrent laryngeal nerve injury, we retrospectively analyzed clinical data from 5 344 patients unde...To determine the value of dissecting the recurrent laryngeal nerve during thyroid surgery with respect to preventing recurrent laryngeal nerve injury, we retrospectively analyzed clinical data from 5 344 patients undergoing thyroidectomy. Among these cases, 548 underwent dissection of the recurrent laryngeal nerve, while 4 796 did not. There were 12 cases of recurrent laryngeal nerve injury following recurrent laryngeal nerve dissection (injury rate of 2.2%) and 512 cases of recurrenl laryngeal nerve injury in those not undergoing nerve dissection (injury rate of 10.7%). This difference remained statistically significant between the two groups in terms of type of thyroid disease, type of surgery, and number of surgeries. Among the 548 cases undergoing recurrent laryngeal nerve dissection, 128 developed anatomical variations of the recurrent laryngeal nerve (incidence rate of 23.4%), but no recurrent laryngeal nerve injury was found. In addition, the incidence of recurrent laryngeal nerve injury was significantly lower in patients with the infedor parathyroid gland and middle thyroid veins used as landmarks for locating the recurrent laryngeal nerve compared with those with the entry of the recurrent laryngeal nerve into the larynx as a landmark. These findings indicate that anatomical variations of the recurrent laryngeal nerve are common, and that dissecting the recurrent laryngeal nerve during thyroid surgery is an effective means of preventing nerve injury.展开更多
目的探讨腔镜下甲状腺次全切术与常规开放手术治疗甲状腺功能亢进的疗效及对甲状旁腺功能的影响。方法选取2017年7月至2019年3月该院收治的甲状腺功能亢进患者102例,随机分为腔镜组和对照组,每组51例。腔镜组采用胸乳入路腔镜下改良甲...目的探讨腔镜下甲状腺次全切术与常规开放手术治疗甲状腺功能亢进的疗效及对甲状旁腺功能的影响。方法选取2017年7月至2019年3月该院收治的甲状腺功能亢进患者102例,随机分为腔镜组和对照组,每组51例。腔镜组采用胸乳入路腔镜下改良甲状腺次全切术,对照组采用常规术式。比较两组患者手术时间、术中出血量、术后引流量、术后住院时间,甲状腺功能和甲状旁腺功能,术后发生暂时性低钙血症、暂时性甲状旁腺功能减退情况,记录发生气管/食道损伤、高碳酸血症、呼吸性酸中毒、纵隔气肿及皮下血肿所致的呼吸困难、甲亢危象及死亡情况。结果腔镜组手术时间多于对照组,术中出血量、术后引流量、术后住院时间少于对照组,差异有统计学意义(P<0.05)。与术前比较,两组患者术后1个月、3个月血清游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)水平明显降低,促甲状腺激素(TSH)水平明显升高(P<0.05),术前、术后1个月、术后3个月两组患者TSH、FT3、FT4水平比较无明显差异(P>0.05)。两组患者术前Ca2+、甲状旁腺激素(PTH)水平比较无明显差异(P>0.05),术后1 d两组患者Ca2+、PTH水平明显降低,之后逐渐升高;术后1、3、7 d腔镜组Ca2+、PTH水平高于对照组(P<0.05),且腔镜组术后7 d Ca2+水平与术前相比,差异无统计学意义(P>0.05)。两组患者均未发生食管/气道损伤,且腔镜组未发生高碳酸血症、呼吸性酸中毒、纵隔气肿、皮下血肿所致呼吸困难及死亡情况;腔镜组术后暂时性低钙血症、暂时性甲状旁腺功能减退及喉返神经损伤发生率低于对照组,差异有统计学意义(P<0.05)。结论腔镜下甲状腺次全切术利用放大功能和神经监测在降低术后甲状旁腺功能减退和喉返神经损伤方面具有一定积极作用。展开更多
基金supported by the National Natural Science Foundation of China, No. 81271088the Natural Science Foundation of Shanghai, No. 11ZR1423600
文摘To determine the value of dissecting the recurrent laryngeal nerve during thyroid surgery with respect to preventing recurrent laryngeal nerve injury, we retrospectively analyzed clinical data from 5 344 patients undergoing thyroidectomy. Among these cases, 548 underwent dissection of the recurrent laryngeal nerve, while 4 796 did not. There were 12 cases of recurrent laryngeal nerve injury following recurrent laryngeal nerve dissection (injury rate of 2.2%) and 512 cases of recurrenl laryngeal nerve injury in those not undergoing nerve dissection (injury rate of 10.7%). This difference remained statistically significant between the two groups in terms of type of thyroid disease, type of surgery, and number of surgeries. Among the 548 cases undergoing recurrent laryngeal nerve dissection, 128 developed anatomical variations of the recurrent laryngeal nerve (incidence rate of 23.4%), but no recurrent laryngeal nerve injury was found. In addition, the incidence of recurrent laryngeal nerve injury was significantly lower in patients with the infedor parathyroid gland and middle thyroid veins used as landmarks for locating the recurrent laryngeal nerve compared with those with the entry of the recurrent laryngeal nerve into the larynx as a landmark. These findings indicate that anatomical variations of the recurrent laryngeal nerve are common, and that dissecting the recurrent laryngeal nerve during thyroid surgery is an effective means of preventing nerve injury.
文摘目的探讨腔镜下甲状腺次全切术与常规开放手术治疗甲状腺功能亢进的疗效及对甲状旁腺功能的影响。方法选取2017年7月至2019年3月该院收治的甲状腺功能亢进患者102例,随机分为腔镜组和对照组,每组51例。腔镜组采用胸乳入路腔镜下改良甲状腺次全切术,对照组采用常规术式。比较两组患者手术时间、术中出血量、术后引流量、术后住院时间,甲状腺功能和甲状旁腺功能,术后发生暂时性低钙血症、暂时性甲状旁腺功能减退情况,记录发生气管/食道损伤、高碳酸血症、呼吸性酸中毒、纵隔气肿及皮下血肿所致的呼吸困难、甲亢危象及死亡情况。结果腔镜组手术时间多于对照组,术中出血量、术后引流量、术后住院时间少于对照组,差异有统计学意义(P<0.05)。与术前比较,两组患者术后1个月、3个月血清游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)水平明显降低,促甲状腺激素(TSH)水平明显升高(P<0.05),术前、术后1个月、术后3个月两组患者TSH、FT3、FT4水平比较无明显差异(P>0.05)。两组患者术前Ca2+、甲状旁腺激素(PTH)水平比较无明显差异(P>0.05),术后1 d两组患者Ca2+、PTH水平明显降低,之后逐渐升高;术后1、3、7 d腔镜组Ca2+、PTH水平高于对照组(P<0.05),且腔镜组术后7 d Ca2+水平与术前相比,差异无统计学意义(P>0.05)。两组患者均未发生食管/气道损伤,且腔镜组未发生高碳酸血症、呼吸性酸中毒、纵隔气肿、皮下血肿所致呼吸困难及死亡情况;腔镜组术后暂时性低钙血症、暂时性甲状旁腺功能减退及喉返神经损伤发生率低于对照组,差异有统计学意义(P<0.05)。结论腔镜下甲状腺次全切术利用放大功能和神经监测在降低术后甲状旁腺功能减退和喉返神经损伤方面具有一定积极作用。