摘要
目的:探讨甲状腺术中解剖喉返神经并避免喉返神经损伤的有效方法。方法:回顾性分析218例甲状腺肿瘤手术患者的临床资料,分析解剖显露喉返神经后喉返神经损伤情况。结果:甲状腺腺叶切除或全切除病例,解剖暴露喉返神经293条,喉返神经损伤2条(为了证实是喉返神经,经钳夹引起声嘶,术后经营养神经药物治疗,术后两月痊愈),喉返神经总损伤率0.007%。结论:术中解剖喉返神经有助于减少喉返神经损伤,建议常规解剖暴露喉返神经。
Objective: To discuss effective methods to anatomize recurrent laryngeal nerve during thyroid surgery and avoid the injury of it. Method :Retrospectively analyzed the clinical information of 218 cases with thyroid surgery and analyzed the injury conditions of recurrent laryngeal nerve. Result: 293 recurrent laryngeal nerves were anatomized in cases who received lobectomy of thyroid or total thyroidectomy,2 recurrent laryngeal nerves were injuried (they were treated by neurotrophic medicine and fully recovered in two months). The total injury rate was 0.007%. Conclusion: The anatomization of recurrent laryngeal nerve is helpful to reduce nerve injury,the best method is to expose routinely.
出处
《内蒙古中医药》
2008年第8X期45-46,共2页
Inner Mongolia Journal of Traditional Chinese Medicine
关键词
甲状腺手术
喉返神经
损伤
Thyroid surgery
Recurrent laryngeal nerve
Injury
