【摘要】 目的研究甲状腺手术显露喉返神经的方法。方法回顾性分析2007年11月至2009年4月广西医科大学第一附属医院收治的123例甲状腺手术病人资料,采用甲腺下动脉区显露法、气管食管沟区显露法和甲状软骨下角区显露法在不同的麻醉方式解剖显露喉返神经后再进行甲状腺切除,观察术中和术后如何保护喉返神经及甲状旁腺不受损伤。结果 123例甲状腺手术中,术中解剖显露喉返神经221条次,其中左侧12条次,右侧13条次,左右两侧同时显露196条次,术中术后没有发生喉返神经损伤。结论直视下解剖显露喉返神经可作为甲状腺手术常规技术,可避免或不发生喉返经损伤,提高甲状腺规范切除质量,消除患者精神压力和心理负担。更多还原

【Abstract】 Objective To study the methods and values of the exposing of recurrent laryngeal nerve in thyroidoperation,and improve the quality and security of thyroid operation.MethodsThe data of 123 cases of patientsreceiving thyroid operation,that included 99 cases in the primary operations and 24 cases in the reoperation, wereanalyzed retrospectively. The recurrent laryngeal nerve was dissected by Inferior thyroid artery area exposure, inferiorcorun of the thyroid cartilage area exposure, or the tracheo-esophageal groove area exposure individually before thethyrodectomy. We evaluated the injury of recurrent laryngeal nerve and provided secure and reliable methods foravoiding the injury of recurrent laryngeal nerve in thyroid operation.Results123 cases received thyroid operation. 221 recurrent laryngeal nerves were dissected intra-operatively, including12 left nerves,13 right nerves, and 196 bilateralnerves. The result indicated that recurrent laryngeal nerves of all included patients wasn’t damaged during or afterthyroid operation.ConclusionExposing recurrent laryngeal nerves can prevent recurrent laryngeal nerves injury inthyroid operation. We concluded that exposing recurrent laryngenl nerves can be used as a routine method in thyroidsurgery, improving thyroid operation quality.更多还原