摘要
目的 探讨甲状腺手术中不同途径暴露喉返神经对喉返神经损伤的预防效果.方法 选择甲状腺手术的患者130例为研究对象,采用随机数字表法分为甲状软骨下角及甲状腺下动脉区组,比较两组手术时间、术中出血量及术后住院时间的差异,分析两组患者喉返神经损伤的发生情况.结果 两组的手术时间、术中失血量及术后住院时间差异均无统计学意义（t=1.294、0.967、1.008,均P〉0.05）,甲状腺下动脉区组喉返神经损伤发生率为4.61%,高于甲状软骨下角组的1.54%,差异有统计学意义（χ^2=4.203,P〈0.05）,甲状腺次全切除术喉返神经损伤发生率分别为15.38%和5.26%,甲状腺全切除术喉返神经损伤发生率分别为12.5%和0.0%,组间比较差异均有统计学意义（χ^2=5.729、8.237,均P〈0.05）,而甲状腺部分切除两组喉返神经损伤发生率差异无统计学意义（χ^2=1.182,P〉0.05）.结论 经甲状软骨下角途径暴露喉返神经较经甲状腺下动脉途径能更好地保护喉返神经,并且不会增加手术时间、术中出血量及术后住院时间,值得进一步推广应用.
Objective To explore the prevention of recurrent laryngeal nerve injury through the exposure recurrent laryngeal nerve by different ways in thyroid operation.Methods The patients with thyroid surgery were selected as study objects,and they were randomly divided into the inferior horn of thyroid cartilage and the inferior thyroid artery group according to the digital table.The operation time,amount of bleeding and the time of postoperative hospitalization were compared between the two groups,and the incidence of recurrent laryngeal nerve injury was analyzed.Results The differences were not statistically significant in the operation time,amount of bleeding and the time of postoperative hospitalization between the two groups （t=1.294,0.967,1.008,all P〉0.05）.The incidence rate of recurrent laryngeal nerve injury in the inferior thyroid artery group（4.61%） was higher than that in the thyroid cartilage angle group（1.54%）（χ^2=4.203,P〈0.05）.The incidence rates of recurrent laryngeal nerve injury in subtotal thyroidectomy were 15.38% and 5.26% respectively,and the incidence rates of recurrent laryngeal nerve injury in subtotal thyroidectomy were 12.5% and 0.0%,the differences were statistically significant （χ^2=5.729,8.237,all P〈0.05）,but there was no statistically significant difference in partial thyroidectomy（χ^2=1.182,P〉0.05）.Conclusion The exposure recurrent laryngeal nerve through the inferior horn of thyroid cartilage in thyroid operation can protect the recurrent laryngeal nerve,and can not increase the operation time,bleeding volume and the hospitalization time after surgery,which is worthy of further application.
出处
《中国基层医药》
CAS
2017年第15期2334-2337,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
甲状腺
喉返神经
手术方式
Thyroid gland
Recurrent laryngeal nerve
Operation mode
