摘要
目的:探讨甲状腺手术中常规解剖喉返神经的方法,以避免喉返神经的损伤。方法:247例患者全部以气管食管沟或者甲状软骨下角为解剖标志显露喉返神经,于喉返神经前面沿着其走向向上解剖显露至甲状软骨下角环甲膜入喉处,或向下解剖显露至甲状腺下极下动静脉处,不必刻意寻找喉返神经的分支,共解剖喉返神经258条。结果:全部患者喉返神经损伤2条,损伤率为0.8%,均为喉返神经不全性损伤,1个月左右恢复正常,与前期不进行常规解剖喉返神经276例比较,二者之间差异有统计学意义(P<0.05)。结论:常规解剖喉返神经进行甲状腺手术的方法可以有效降低喉返神经的损伤率。
Objective：To discuss the method of recurrent laryngeal nerve anatomy of thyroid surgery, for avoiding recurrent laryngeal nerve injury.Mothod：Recurrent laryngeal nerve of all 247 cases were found along tracheo-esophageal groove or angle of thyroid cartilage, in front of the recurrent laryngeal nerve showed up next to the thyroid cartilage angle and cricothyroid membrane, or down to thyroid anatomy revealed under the lower pole artery and vein, and not have to deliberately look for a branch of the recurrent laryngeal nerve, a total of 258 recurrent laryngeal nerve were found.Result：Among two hundred and forty-seven cases,the recurrent laryngeal nerve injury was two cases, injury rate was 0.8%. And the two cases were incomplete injury, which about a month were back to normal, and significant deviation was found with no pre-conventional anatomy of of recurrent laryngeal nerve of 276 cases （P〈0.05）.Conclusion：Conventional recurrent laryngeal nerve anatomy in thyroid surgery could effectively avoiding recurrent laryngeal nerve injury.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2010年第7期304-305,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
甲状腺切除术
甲状腺疾病
喉返神经
损伤
thyroidectomy
thyroid disease
recurrent laryngeal nerve
injury
