摘要
目的探讨甲状腺手术中解剖显露喉返神经对喉返神经保护的效果。方法选取本院于2016年1月-2017年12月间收治的180例行甲状腺手术患者,按照随机数字法分为两组。对照组90例,不行显露喉返神经干预,研究组90例,行解剖显露喉返神经干预,比较两组患者切口长度、术中出血量、手术时间、引流总量、住院时间、喉返神经损伤发生情况以及生活质量评分。结果两组间切口长度、术中出血量、住院时间比较无显著差异(P>0.05),研究组手术时间显著长于对照组,差异具有统计学意义(P<0.05),引流总量显著多与对照组,差异具有统计学意义(P <0.05);研究组喉返神经损伤发生率(2.22%)显著低于对照组(16.67%),差异具有统计学意义(P <0.05);两组患者干预前生活质量各维度评分比较差异无统计学意义(P>0.05),干预后两组生活质量各维度评分均显著升高,且研究组显著高于对照组,差异具有统计学意义(P <0.05)。结论甲状腺手术中解剖显露喉返神经虽然会延长手术时间,但不延长术后恢复时间,其可有效降低喉返神经损伤发生率,值得在临床上推广使用。
Objective To explore the effect of dissection of recurrent laryngeal nerve on the protection of recurrent laryngeal nerve during thyroid surgery. Methods 180 patients with thyroid surgery being treated in our hospital from January 2016 to December 2017 were selected. It was divided into 2 groups according to the random number method. In the control group, 90 cases were not exposed to the intervention of recurrent laryngeal nerve, while all cases were dissected to reveal the intervention of recurrent laryngeal nerve in the study group. The incision length, intraoperative blood loss, operative time, total drainage volume, hospitalization time, recurrent laryngeal nerve injury and quality of life were compared between two groups. Results There were no significant difference in the length of incision, the amount of bleeding in the operation, and the time of hospitalization between two groups（P 〈0.05）. The operation time in the study group was significantly longer than that in the control group（P〉0.05）. The total amount of drainage was significantly higher than that in the control group（P〈0.05）. The incidence of recurrent laryngeal nerve injury in the study group（2.22%） was significantly lower than that in the control group（16.67%）（P〈0.05）. There was no significant difference in the scores of the quality of life between two groups before intervention（P〉0.05）. After intervention, the scores of life quality between two groups were significantly increased（P〈 0.05）. And the study group was significantly higher than that of the control group（P〈0.05）. Conclusion Anatomic exposure of the recurrent laryngeal nerve during thyroid surgery may prolong the operation time. But the recovery time is not delayed. It can effectively reduce the incidence of recurrent laryngeal nerve injury. It is worth popularizing in clinical practice.
作者
田丰
李婷婷
党前前
王琦
TIAN Feng;LI Tingting;DANG Qianqian;WANG Qi(Department of Otolaryngology and head and neck surgery,the Sixth Division hospital of Wujiaqu,Wujiaqu,Changji,831300,China)
出处
《新疆医学》
2018年第7期726-729,共4页
Xinjiang Medical Journal
关键词
甲状腺手术
喉返神经
喉返神经损伤
显露喉返神经
thyroid surgery
recurrent laryngeal nerve
recurrent laryngeal nerve injury
exposure of recurrent laryngeal nerve
