甲状腺手术中显露喉返神经的临床分析

摘要

目的：探讨甲状腺手术中解剖显露喉返神经（RLN）对预防其损伤的意义。方法回顾分析1100例甲状腺切除术患者手术及临床资料，其中术中显露喉返神经610例，不显露喉返神经490例。结果显露喉返神经术式者喉返神经损伤2例，损伤率为0.33%。不显露喉返神经术式者喉返神经损伤4例，损伤率为0.82%。二者之间差异有统计学意义（P<0.05）。结论术中有计划显露喉返神经并且规范化操作可明显减少RLN的损伤。%Objective To investigate the effect of thyroid operation in the anatomy of the recurrent laryngeal nerve(RLN)to prevent the injury of signiifcance. Methods Retrospective analysis of the clinical data of 1100 cases of thyroidectomy patients and operation, the operation of the recurrent laryngeal nerve in 610 cases, no exposure of the recurrent laryngeal nerve in 490 cases. Results The recurrent laryngeal nerve surgery, recurrent laryngeal nerve injury in 2 cases, injury rate was 0.33%. No exposure of recurrent laryngeal nerve in operation are recurrent laryngeal nerve injury in 4 cases, injury rate was 0.82%. There was statistically signiifcant difference between them(P<0.05). Conclusion The operation plan in the exposure of the recurrent laryngeal nerve and standardized operation can signiifcantly reduce RLN damage.