摘要
目的探讨显露喉返神经和甲状旁腺在甲状腺癌根治术中的临床价值。方法选择我院2017年3月至2019年2月期间收治的甲状腺癌患者65例,根据术中是否显露喉返神经和甲状旁腺分为实验组(n=35)和对照组(n=30),对比两组患者的术中出血量、术后引流量、住院时间及喉返神经和甲状旁腺功能损伤情况。结果实验组的术中出血量、术后引流量及住院时间明显优于对照组,差异有统计学意义(P<0.05)。实验组的喉返神经和甲状旁腺功能损伤率分别为5.7%、2.9%,明显低于对照组的23.3%、20.0%,差异有统计学意义(P<0.05)。结论甲状腺癌根治术中显露喉返神经和甲状旁腺能够促进患者更快恢复,喉返神经和甲状旁腺功能损伤率较低,具有一定的临床应用价值。
Objective To explore the clinical value of exposing recurrent laryngeal nerve and parathyroid gland in radical thyroidectomy.Methods 65 patients with thyroid cancer admitted to our hospital from March 2017 to February 2019 were selected and divided into experimental group(n=35)and control group(n=30)according to whether the recurrent laryngeal nerve and parathyroid gland were exposed or not during the operation.The intraoperative blood loss,postoperative drainage volume,hospitalization time,and the functional damage of recurrent laryngeal nerve and parathyroid gland were compared between the two groups.Results The intraoperative blood loss,postoperative drainage volume,and hospitalization time of the experimental group were significantly better than those in the control group,with statistical differences(P<0.05).The functional damage rates of recurrent laryngeal nerve and parathyroid gland of the experimental group were respectively 5.7%and 2.9%,significantly lower than 23.3%and 20.0%of the control group,with statistical differences(P<0.05).Conclusions Exposing recurrent laryngeal nerve and parathyroid gland in radical thyroidectomy can promote better recovery of patients,with lower functional damage rates of recurrent laryngeal nerve and parathyroid gland,which has certain clinical application value.
作者
陈海德
陈龙林
陈钦盛
CHEN Haide;CHEN Longlin;CHEN Qinsheng(Dqfeng Hospital of Chaoyang District,Shantou 515154,China)
出处
《临床医学工程》
2019年第9期1229-1230,共2页
Clinical Medicine & Engineering
关键词
喉返神经
甲状旁腺
甲状腺癌根治术
临床价值
Recurrent laryngeal nerve
Parathyroid gland
Radical thyroidectomy
Clinical value
