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显露与不显露喉返神经甲状腺叶切除术312例的临床对照分析 被引量:1

Clinical Comparative Analysis of 312 Cases of Exposed and Non-exposed Recurrent Laryngeal Nerve Thyroidectomy
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摘要 目的:探究在进行甲状腺叶切除术过程中显露喉返神经对于喉返神经损伤预防的意义。方法:择取某院于2012年3月~2016年3月期间进行甲状腺叶切除术的患者共312例参与本次研究,按患者入院时间将其分为研究组和参照组,每组156例患者。研究组行单侧手术并解剖其喉返神经,对照组行单侧手术且不解剖喉返神经,对比两组患者手术时间以及术后并发症情况。结果:研究组患者所用手术时间显著多于对照组,但术后喉返神经损伤并发症发生率明显低于对照组,组间数据经过统计学分析,差异有意义(P<0.05)。结论:在进行甲状腺叶切除术时解剖患者喉返神经虽然会延长手术时间,但是可有效降低喉返神经损伤率。 Objective:To explore the significance of revealing recurrent laryngeal nerve in the prevention of recurrent laryngeal nerve injury during the course of thyroid carcinoma.Methods:312 cases of thyroidectomy treated in a hospital from March 2012 to March 2016 were selected and divided into research group and control group according to the admission time,with 156 patients in each group.The research group was given unilateral operation and dissected the recurrent laryngeal nerve,while the control group performed unilateral operation without dissecting the recurrent laryngeal nerve,then the operative time and postoperative complications between the two groups were compared.Results:The operative time in the research group was significantly longer than that in the control group,and the incidence of postoperative complications of recurrent laryngeal nerve injury was significantly lower than that in the control group.The data between the two groups was statistically analyzed and the difference was significant(P<0.05).Conclusion:The dissection of the recurrent laryngeal nerve at the time of thyroidectomy can prolong the operation time,but it can effectively reduce the rate of recurrent laryngeal nerve injury.
作者 樊旭 肖红利
出处 《数理医药学杂志》 2018年第3期374-375,共2页 Journal of Mathematical Medicine
关键词 甲状腺叶切除术 喉返神经 显露 不显露 thyroid lobectomy laryngeal recurrent nerve exposed non-exposed
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