CAJ | 학술논문

目的比较甲状腺切除术中解剖和未解剖喉返神经(RLN)预防其损伤的发生率.方法回顾性分析甲状腺切除术中RLN解剖(472例,639侧次)与未解剖(232例,296侧次)临床资料,比较两者间并发RLN损伤几率.结果解剖组:RLN暂时损伤为1.49%(7/472),无永久性损伤,暂时性甲状旁腺功能低下为1.69%(8/472).未解剖组:暂时损伤为6.03%(14/232),永久性损伤2.16%(5/232).术中RLN解剖与未解剖比较,手术时间和RLN永久性损伤差异有统计学意义(P＜0.01).结论甲状腺切除术中RLN解剖与未解剖相比前者虽然增加手术时间,但对预防或避免医源性RLN损伤有重要意义.
목적 비교갑상선절제술중해부화미해부후반신경(RLN)예방기손상적발생솔.방법 회고성분석갑상선절제술중RLN해부(472례,639측차)여미해부(232례,296측차)림상자료,비교량자간병발RLN손상궤솔.결과 해부조:RLN잠시손상위1.49%(7/472),무영구성손상,잠시성갑상방선공능저하위1.69%(8/472).미해부조:잠시손상위6.03%(14/232),영구성손상2.16%(5/232).술중RLN해부여미해부비교,수술시간화RLN영구성손상차이유통계학의의(P＜0.01).결론 갑상선절제술중RLN해부여미해부상비전자수연증가수술시간,단대예방혹피면의원성RLN손상유중요의의.
Objective To compare the incidence of recurrent laryngeal nerve (RLN) injury in thyroidectomy with or without exposing RLN. Methods Records of 704 patients in our hospital undergoing thyroidectomy were retrospectively studied, among whom 472 patients underwent thyroidectomy with RLN being exposed and 232 underwent thyroidectomy without RLN being exposed. Results The incidence of RLN temporary damage and permanent damage in RLN exposed group was 1.49% (7/472) and 0, while it was 6. 03% (14/232)and 2. 16%(5/232) in the non-exposed group. There was statistic difference between the two groups in terms of permanent injury incidence and operation duration (P ＜ 0. 01). Conclusions Although the operation duration was prolonged in RLN exposure group, RLN exposure during operation is very helpful to prevent recurrent laryngeal nerve injury. Therefore, it's necessary to expose RLN during operation in sub-total thyroidectomy and total thyroidectomy.