【摘要】 目的探讨显露喉返神经(RLN)技术在甲状腺手术中预防RLN损伤的作用。方法采用前瞻、随机、对照的研究方法,将符合入选标准甲状腺手术患者373例随机分成观察组和对照组。观察组(173例)显露RLN行甲状腺手术,对照组(200例)不显露RLN行甲状腺手术,比较两组RLN损伤的发生率和预后情况。结果观察组共显露RLN 198条,RLN损伤率为0.5%(1/198),6个月内功能恢复,对照组RLN损伤率为6.0%(12/200),其中4例6个月内部分功能恢复,8例永久性损伤,两组比较差异有统计学意义(P<0.05)。结论甲状腺手术中常规显露RLN径路能有效降低RLN损伤的发生率。更多还原

【Abstract】 Objective To investigate the efficacy of recurrent laryngeal nerve(RLN) exposure in preventing RLN injury during thyroid surgery.Methods Using a prospective,randomized,controlled design,373 patients scheduled to undergo thyroid surgery and met the inclusion criteria were randomly divided into observation group and control group.The patients of the observation group(173 cases) underwent thyroid surgery with RLN exposure,while the patients of the control group(200 cases) underwent thyroid surgery without RLN exposure.The RLN injury rate and outcome of the two groups were compared.Results A total of 198 RLNs were exposed in observation group with the RLN injury rate of 0.5%(1/198),and the nerve injury recovered within 6 months.The RLN injury rate of the control group was 6.0%(12/200).Of the patients with RLN injury,4 cases partially recovered within 6 months and 8 cases were permanent injury.There were significant differences of RLN injury between the two groups(P<0.05).Conclusions The routine exposure of RLN pathway during thyroid surgery can effectively reduce the incidence of RLN injury.更多还原