中国医药
中國醫藥
중국의약
CHINA MEDICINE
2009年
3期
208-209
,共2页
喉返神经损伤%甲状腺切除术%甲状腺肿瘤
喉返神經損傷%甲狀腺切除術%甲狀腺腫瘤
후반신경손상%갑상선절제술%갑상선종류
Recurrent laryngeal nerve injury%Thyroidectomy%Thyroid neoplasms
目的 探讨甲状腺手术方式与喉返神经损伤的关系.方法 回顾性分析2000例甲状腺手术方法与喉返神经损伤的关系.结果 喉返神经损伤19例,损伤率为0.95%(19/2000),永久性损伤率为0.35%(7/2000);喉返神经显露组损伤率0.36%(6/1680)明显低于非显露组的0.86%(13/1520)(χ2=4.20,P<0.05).行甲状腺部分切除、侧叶次全切除、侧叶完全切除及同侧淋巴结清扫者喉返神经损伤率依次增高.甲状腺再次手术神经损伤.结论 甲状腺手术方式及切除范围与喉返神经损伤明显相关(r=0.652,P<0.05).
目的 探討甲狀腺手術方式與喉返神經損傷的關繫.方法 迴顧性分析2000例甲狀腺手術方法與喉返神經損傷的關繫.結果 喉返神經損傷19例,損傷率為0.95%(19/2000),永久性損傷率為0.35%(7/2000);喉返神經顯露組損傷率0.36%(6/1680)明顯低于非顯露組的0.86%(13/1520)(χ2=4.20,P<0.05).行甲狀腺部分切除、側葉次全切除、側葉完全切除及同側淋巴結清掃者喉返神經損傷率依次增高.甲狀腺再次手術神經損傷.結論 甲狀腺手術方式及切除範圍與喉返神經損傷明顯相關(r=0.652,P<0.05).
목적 탐토갑상선수술방식여후반신경손상적관계.방법 회고성분석2000례갑상선수술방법여후반신경손상적관계.결과 후반신경손상19례,손상솔위0.95%(19/2000),영구성손상솔위0.35%(7/2000);후반신경현로조손상솔0.36%(6/1680)명현저우비현로조적0.86%(13/1520)(χ2=4.20,P<0.05).행갑상선부분절제、측협차전절제、측협완전절제급동측림파결청소자후반신경손상솔의차증고.갑상선재차수술신경손상.결론 갑상선수술방식급절제범위여후반신경손상명현상관(r=0.652,P<0.05).
Objective To explore the relationship between recurrent laryngeal nerve injury (RLN)and thyroid surgery. Methods Comparison of surgery methods and relationship with RLN injury in 2000 cases of thyroidectomy. Results The overall incidence of recurrent laryngeal nerve injury was 0. 95% (19/2000) and incidence of permanent damage was 0.35% (7/2000). The injury incidence in the nerve exposure (0.36%, 6/ 1680) was significantly lower than non-exposure (0.86% , 13/1520) (χ2 = 4.20, P < 0.05). The injury rates of partial lobectomy, subtotal lobectomy, lobectomy and lobectomy plus ipsolateral neck dissection increased in sequence. Conclusion The surgery method is significantly related with RLN(r =0.652,P<0.05).
