CAJ | 학술논문

目的探讨喉返神经(RLN)显露在甲状腺全切除术中的意义.方法回顾分析2006年12月至2008年12月间116例主动显露201侧RLN的甲状腺全切除术资料.结果 116例甲状腺疾病均行甲状腺全切除术.术中均成功显露双侧或单侧RLN,其中1例右侧非返RLN.RLN永久性损伤0例,暂时性损伤0例,永久损伤率为0.结论甲状腺全切除术中应常规在甲状腺下动脉周围寻找RLN,主动显露RLN可避免其损伤发生,并可提高甲状腺癌手术的彻底性.
목적 탐토후반신경(RLN)현로재갑상선전절제술중적의의.방법 회고분석2006년12월지2008년12월간116례주동현로201측RLN적갑상선전절제술자료.결과 116례갑상선질병균행갑상선전절제술.술중균성공현로쌍측혹단측RLN,기중1례우측비반RLN.RLN영구성손상0례,잠시성손상0례,영구손상솔위0.결론 갑상선전절제술중응상규재갑상선하동맥주위심조RLN,주동현로RLN가피면기손상발생,병가제고갑상선암수술적철저성.
Objective To investigate the significance and the effect of exposing recurrent laryngeal nerve(RLN)in total thyroidectomy.Methods A total of 201 laryngeal nerves were exposed in 116 cases total thyroidectomy from December 2006 to December 2008.The patients'data were analyzed retrospectively.Results Unilateral or bilateral RLN were exposed successfully during operation,including one case of right non recuurent RLN.No Permanent or temporary RLN injury occured.RLN injury rate was 0.Conclusions During total thyroidectomy for thyroid diseases,RLNs should be dissected routinely around the inferior thyroid artery.The exposure of RLN can avoid the morbidity of the nerve injury.