摘要
目的:探讨甲状腺手术所致喉返神经(RLN)损伤的原因及预防措施。方法:回顾分析2000年—2005年420例甲状腺手术资料,对甲状腺病变的位置及手术方法与RLN损伤的关系进行比较分析。结果:发生不同程度声带麻痹21例,位于甲状腺背侧的病变RLN损伤率为14.29%,甲状腺腺叶切除RLN损伤率为12.5%,甲状腺次全切除RLN损伤率为2.27%。结论:甲状腺手术时喉返神经损伤与病变位置和手术方法明显相关;肿块位于甲状腺背侧和行甲状腺腺叶切除时,手术应常规显露RLN。甲状腺手术中喉返神经损伤与肿瘤位置和手术方式有关。
Objective： To discuss the risk factors and the preventive measure about recurrent laryngeal nerve（RLN） injury in thyroidectomy. Methods：Clinical data of 420 cases of thyroidectomy admitted from 2000 to 2005 were analyzed retrospectively , the association between recurrent laryngeal nerve injury with the tumorous sites and the surgical method were analysed. Results： Twenty one patients had varying degree of vocal cord palsy. The RLN palsy rate was 14. 29% which the tumor were located the thyroid gland back side,the RLN palsy rate was 12. 5% in total lobectomy , but in subtotal lobectomy, RNL pdsy rate was 2.27%. Conclusion：The tumorous sites and the surgical method have relatively significance with RLN palsy, the nerve should be exposed when the tumor is located the thyroid gland back side and in total lobectomy. The tumorous sites and the surgical method are risk factors for RLN palsy.
出处
《中国临床医学》
北大核心
2007年第4期593-595,共3页
Chinese Journal of Clinical Medicine
关键词
喉返神经损伤
甲状腺切除术
预防措施
Recurrent laryngeal nerve injury
Htyroldeetomy
Preventive measure
