北华大学学报：自然科学版
北華大學學報：自然科學版
북화대학학보：자연과학판
Journal of Beihua University(Natural Science)
2011年
6期
677-679
,共3页
喉返神经%甲状腺手术%永久性损伤
喉返神經%甲狀腺手術%永久性損傷
후반신경%갑상선수술%영구성손상
recurrent laryngeal nerve%thyroid surgery%permanent injury
目的探讨甲状腺手术中显露喉返神经（RLN）对预防和减少喉返神经损伤的意义.方法回顾性分析经手术治疗的578例甲状腺结节患者资料,268例显露喉返神经,310例按传统方法对喉返神经走行区进行保护,未显露喉返神经.结果显露喉返神经组（A组）神经暂时性损伤2例,无永久性损伤,总损伤率0.75%;未显露喉返神经组（B组）暂时性损伤9例,永久性损伤4例,总损伤率4.2%.结论术中显露喉返神经是甲状腺手术中预防和减少喉返神经永久性损伤的有效方法.
目的探討甲狀腺手術中顯露喉返神經（RLN）對預防和減少喉返神經損傷的意義.方法迴顧性分析經手術治療的578例甲狀腺結節患者資料,268例顯露喉返神經,310例按傳統方法對喉返神經走行區進行保護,未顯露喉返神經.結果顯露喉返神經組（A組）神經暫時性損傷2例,無永久性損傷,總損傷率0.75%;未顯露喉返神經組（B組）暫時性損傷9例,永久性損傷4例,總損傷率4.2%.結論術中顯露喉返神經是甲狀腺手術中預防和減少喉返神經永久性損傷的有效方法.
목적탐토갑상선수술중현로후반신경（RLN）대예방화감소후반신경손상적의의.방법회고성분석경수술치료적578례갑상선결절환자자료,268례현로후반신경,310례안전통방법대후반신경주행구진행보호,미현로후반신경.결과현로후반신경조（A조）신경잠시성손상2례,무영구성손상,총손상솔0.75%;미현로후반신경조（B조）잠시성손상9례,영구성손상4례,총손상솔4.2%.결론술중현로후반신경시갑상선수술중예방화감소후반신경영구성손상적유효방법.
Objective To explore the significance to expose the recurrent laryngeal nerve（RLN） in thyroid surgery and to detect the methods of avoiding nerve damage.Method 578 cases were analyzed retrospectively,268 cases of RLN were exposed,310 cases of RLN with traditional method were not exposed.Results In the group A,there were 2 cases with RLN temporary injury and no permanent injury（0.75%）.In the group B,there were 9 cases with RLN temporary injury and 4 cases of permanent injury（4.2%）.Conclusion To expose RLN in the thyroidectomy is an efficient method to prevent and reduce RLN permanent injury.
