甲状腺手术中喉返神经和喉上神经的保护

摘要

目的：探讨喉上神经与喉返神经损伤在甲状腺手术中的保护对策。方法：收治甲状腺手术患者77例，回顾性分析其临床资料。结果：所有患者都没有出现喉上神经受损。1例(1.30%)二次残留腺体的切除与中央区淋巴结清扫术患者，出现短暂喉返神经功能性损伤，手术完成后出现声音嘶哑，术后21 d完全恢复。结论：对甲状腺手术中喉返神经与喉上神经进行有效的保护，必须对喉上神经与喉返神经的解剖进行充分了解，手术技术十分精巧。%Objective:To explore the protection countermeasures of recurrent laryngeal nerve and superior laryngeal nerve in thyroid surgery.Methods:77 patients with thyroid surgery were selected.The clinical data were retrospectively analyzed. Results:None of the patients had superior laryngeal nerve injury.Transient recurrent laryngeal nerve injury occurred in 1 patient(1.30%) with two times residual gland resection and central lymph node dissection.After surgery,the patient developed hoarse voice.21 days after the operation,the patient was completely recovered.Conclusion:We must fully understand the anatomy of the superior laryngeal nerve and the recurrent laryngeal nerve,in order to provide effective protection for recurrent laryngeal nerve and superior laryngeal nerve in thyroid surgery,the operation was very delicate.