| 摘要: |
| ［摘要］ 目的 探讨喉返神经显露在甲状腺切除术中预防喉返神经损伤的作用。方法 回顾性分析手术治疗的甲状腺疾病患者146例临床资料，研究组（75例）术中解剖显露喉返神经，对照组（71例）术中未显露喉返神经，对比分析两组喉返神经损伤发生率以及手术时间、术中失血量等。结果 研究组喉返神经损伤发生率为1.33%，对照组为9.86%，两组喉返神经损伤发生率比较差异有统计学意义（P<0.05）。研究组手术时间为（82.17±9.25）min，对照组为（73.64±4.18）min，两组比较差异有统计学意义（P<0.05）。研究组术中失血量为（50.27±8.61）ml，对照组为（48.29±7.08）ml，两组比较差异无统计学意义（P>0.05）。结论 甲状腺手术中显露喉返神经能有效降低喉返神经损伤的发生率。 |
| 关键词: 喉返神经 甲状腺手术 显露 |
| DOI：10.3969/j.issn.1674-3806.2016.08.21 |
| 分类号:R 61 |
| 基金项目: |
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| Efficacy of recurrent laryngeal nerve exposure in thyroid surgery |
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LUO Xiao-ming
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Efficacy of recurrent laryngeal nerve exposure in thyroid surgery
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| Abstract: |
| ［Abstract］ Objective To explore the efficacy of recurrent laryngeal nerve exposure in preventing recurrent laryngeal nerve injury during thyroid surgery.Methods The clinical data of 146 patients who underwent thyroid operations were retrospectively analyzed. The recurrent laryngeal nerve was exposed in 75 cases(the research group) but not exposed in 71 cases(the control group). The rate of recurrent laryngeal nerve injury, the operative time and intraoperative blood loss were compared between the two groups.Results The rate of recurrent laryngeal nerve injury in the research group(1.33%) was significantly lower than that in the control group(0.98%) P<0.05. The operative time of the research group（82.17±9.25）min was significantly longer than that of the control group（73.64±4.18）min P<0.05. There was no significant difference in the intraoperative blood loss between the research group（50.27±8.61）ml and the control group（48.29±7.08）ml, P>0.05.Conclusion Recurrent laryngeal nerve exposure can effectively reduce the incidence of recurrent laryngeal nerve injury during thyroid surgery. |
| Key words: Recurrent laryngeal nerve Thyroid surgery Exposure |
