甲状腺手术中喉返神经损伤的预防研究

摘要

目的 探讨从甲状腺腺体下方气管食管沟寻找解剖喉返神经在甲状腺手术中防止喉返神经损伤的意义.方法 回顾性分析在甲状腺手术中从腺叶侧背面寻找解剖喉返神经91例(A组)和甲状腺腺体下方气管食管沟寻找解剖喉返神经104例(B组),观察两组喉返神经损伤情况.结果 B组喉返神经损伤发生率显著低于A组(P<0.05),解剖喉返神经所需时间、出血量均显著低于A组(P<0.05).结论 在行甲状腺手术中从腺体下方气管食管沟寻找解剖喉返神经是更安全、简便的方法,值得临床推广应用.%Objective To approach the significance of dissecting recurrent laryngeal nerve from tracheoesophageal groove under thyroid gland to prevent recurrent laryngeal nerve injury in thyroid surgry. Methods To retrospectively analyze recurrent laryngeal nerve injury in 2 groups:dissecting recurrent laryngeal nerve from the back of lobus glandulae thyroideae (group A) ,dissecting recurrent laryngeal nerve from tracheoesophageal groove under thyroid gland (group B). Results The incidence rate of injuring recurrent laryngeal nerve in group B was significant lower than group A(P<0. 05). The time spent on dissecting recurrent laryngeal nerve and the amount of bleeding from group B was significantly lower than group A(P<0. 05). Conclusion The method of dissecting recurrent laryngeal nerve from tracheoesophageal groove under thyroid gland is safer and more convenient. It deserves to be popularized in clinic.