摘要
目的:探讨甲状腺再次手术中喉返神经损伤的预防方法。方法:对116例甲状腺再次手术患者分两组进行分析,未解剖组65例,其中甲状腺癌38例,良性甲状腺疾病27例;解剖组51例,其中甲状腺癌35例,良性甲状腺疾病16例。结果:在甲状腺癌中未解剖组损伤8例,损伤率为21.1%;解剖组损伤1例,损伤率为2.9%;两者之间差异有统计学意义(P<0.05)。在良性甲状腺疾病中未解剖组损伤2例,损伤率为7.4%;解剖组损伤0例,损伤率为0;两者之间差异无统计学意义(P>0.05)。结论:甲状腺癌再次手术中显露喉返神经可以降低喉返神经损伤的发生率。
Objective：To explore the prevention of recurrent laryngeal nerve（RLN） injury in reoperation of thyroid surgery.Methods：In this study,116 patients admitted in our hospital from january 1980 to december 2009 were divided into two groups：RLN exposure group（51 cases） and RLN non-exposure group（65 cases）.38 cases of thyroid cancer and 27 cases of benign thyroid neoplasm were in RLN non-exposure group.35 cases of thyroid cancer and 16 cases of benign thyroid neoplasm were in RLN exposure group.Results：8 cases of thyroid cancer（21.1%） suffered from RLN injury in non-exposure group,one case of thyroid cancer（2.9%） suffered from RLN injury in exposure group,there was significant difference between them（P 0.05）.2 cases of benign thyroid neoplasm（7.4%） suffered from RLN injury in non-exposure group,no case of benign thyroid neoplasm（0%） suffered from RLN injury in exposure group,there was no difference between them（P 0.05）.Conclusion：Exposure of RLN can greatly decrease RLN injury in reoperation of thyroid cancer.
出处
《现代医学》
2010年第4期347-349,共3页
Modern Medical Journal
关键词
甲状腺疾病
再次手术
喉返神经损伤
thyroid disease
reoperation
recurrent laryngeal nerve injury
