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显露喉返神经在甲状腺切除中的临床意义

Effect of exposure of the recurrent laryngeal nerve in thyroid surgery

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【作者】 丁洪飞陈国珍黄胜超陈小东李建文张远起黄水传张智肖雄升

【Author】 DING Hong-fei,CHEN Guo-zhen,HUANG Sheng-chao,CHEN Xiao-dong,LI Jian-wen,ZHANG Yuan-qi,HUANG Shui-chuan,ZHANG Zhi,XIAO Xiong-sheng.Affiliated Hospital of Guangdong Medical College,Guangdong Zhanjiang 524000,China

【机构】 广东医学院附属医院血管甲状腺乳腺外科

【摘要】 目的探讨显露喉返神经在甲状腺手术中的临床意义。方法回顾性分析2007年4月至2009年10月本院827例甲状腺手术患者的临床资料,根据术中是否显露喉返神经分为显露喉返神经组和非显露喉返神经组。结果显露喉返神经组475例,喉返神经损伤4例,损伤率0.84%;非显露喉返神经组352例,喉返神经损伤17例,损伤率4.83%。两组比较差异有统计学意义(P<0.05)。结论甲状腺切除术中显露喉返神经对保护喉返神经是安全和有效的。

【Abstract】 Objective To investigate the effect of exposure of the recurrent laryngeal nerve(RLN) in thyroid surgery.Methods Eight hundred twenty-seven cases’ clinical data with thyroid diseases undergoing thyroid surgery from April 2007 to October 2009 were retrospectively reviewed.The patients were divided into two groups:exposed recurrent laryngeal nerve group and unexposed recurrent laryngeal nerve group.Results RLN were exposed in 475 cases(exposed group) and were unexposed in 352 cases(unexposed group).In the exposed group,4 cases of RLN was injured,the rate of RLN’s lesion was 0.84%.In the unexposed group,17 cases of RLN was injured,the rate of RLN’s lesion was 4.83%.There were significant differences between two groups,P<0.05.Conclusion Exposure of RLN in thyroid surgery is safety and effective way to protect the RLN.

  • 【文献出处】 中华普通外科学文献(电子版) ,Chinese Archives of General Surgery(Electronic Edition) , 编辑部邮箱 ,2010年06期
  • 【分类号】R653
  • 【被引频次】5
  • 【下载频次】92
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