摘要
目的探讨甲状腺瘤侧叶次全切除术与全切除术对喉返神经损伤的影响。方法选取2010年1月至2015年1月在该院治疗并进行甲状腺切除术的521例甲状腺肿瘤患者,其中接受非显露喉返神经甲状腺侧叶次全切除术135例,非显露喉返神经甲状腺全切除术121例,以及显露喉返神经甲状腺侧叶次全切除术126例,显露喉返神经甲状腺全切除术139例。比较不同手术方式对喉返神经损伤的影响。结果无论是采用显露还是非显露方法,甲状腺侧叶次全切除术对喉返神经的损伤率都要低于全切除术,差异有统计学意义(P<0.05),另外采用显露喉返神经甲状腺侧叶次全切除术方法对喉返神经的损伤率要低于非显露喉返神经甲状腺侧叶次全切除术,差异有统计学意义(P<0.05)。结论甲状腺瘤采用全切除术对喉返神经的损伤要高于侧叶次全切除术。
Objective To investigate the influence on recurrent laryngeal nerve（RLN）injury between side lobe subtotal resection and total resection in thyroid cancer patients.Methods A total of 521 thyroid cancer patients in the Third People′s Hospital of Kunming City from January 2010 to January 2015 were recruited into this study,135 cases received non-exposed RLN thyroid side lobe subtotal resection,121 cases received non-exposed RLN total resection,and 126 cases received exposed RLN thyroid side lobe subtotal resection,139 cases received exposed RLN total resection,then compared the damage of four methods on the recurrent laryngeal nerve.Results Either use exposed RLN method or non-exposed RLN method,the damage of RLN using thyroid side lobe subtotal resection was lower than total resection（P〈0.05）,in addition recurrent laryngeal nerve injury rate by thyroid side lobe subtotal resection exposed recurrent laryngeal methods was lower than the non-exposed method（P〈0.05）.Conclusion The injury rate of recurrent laryngeal nerve by total resection is higher than side lobe subtotal resection in thyroid cancer patients.
出处
《检验医学与临床》
CAS
2017年第3期383-385,共3页
Laboratory Medicine and Clinic
关键词
甲状腺肿瘤
侧叶次全切除术
全切术
喉返神经
损伤
thyroid cancer
lateral lobe subtotal resection
total resection
recurrent laryngeal nerve
injury
