摘要
作者对１５５７例甲状腺肿瘤手术后喉返神经损伤的原因及预防措施进行了分析。本组喉返神经麻痹发生率，良、恶性肿瘤分别为２．３％和９．８％；首次与再次手术分别为３．９％和１０．５％。作者提倡术中暴露喉返神经，但对于双侧肿瘤、巨大肿瘤及甲状腺癌侵犯神经者应按其具体情况区别对待。作者提出了暴露喉返神经的三个解剖标志，以及神经损伤的预防和处理措施。
Studies were made on the injury of the recurrent laryngeal nerve (RLN) seen in operations for 1557 cases of thyroid tumour. RLN palsy rates for benign and malignant tumor resection were 2. 3% and 9. 8% respectively;the rate for primary and secondary operation was 3. 9% an 10. 5 % respectively. During operation,exposuring RLN was advocated. However,for bilateral tumours,huge tumour and thyroid cancer that had invaded the nerve,such an exposure should be individualied in the light of their actual conditions. Three anatomic markers are given in this paper in regard to the exposure of the RLN,besides measures adopted for the prevention and management of the nerve injuries.
出处
《普外临床》
CSCD
1997年第3期176-177,共2页
