中华普通外科杂志
中華普通外科雜誌
중화보통외과잡지
CHINESE JOURNAL OF GENERAL SURGERY
2012年
4期
286-288
,共3页
甲状腺疾病%甲状腺切除术%喉返神经%创伤和损伤
甲狀腺疾病%甲狀腺切除術%喉返神經%創傷和損傷
갑상선질병%갑상선절제술%후반신경%창상화손상
Thyroid diseases%Thyroidectomy%Recurrent laryngeal nerve%Wounds and injury
目的 探讨甲状腺腺叶切除术的技术改进对于喉返神经的保护作用.方法 回顾性分析2010年1月至2011年1月85例接受改良甲状腺腺叶切除术患者的临床资料.结果 本组病例均实现清晰术野,共解剖出喉返神经126条,共出现2例单侧喉返神经一过性损伤,损伤率为1.59％(2/126),无双侧喉返神经损伤,无永久性喉返神经损伤.结论 通过改进甲状腺腺叶切除技术,实施精确甲状腺腺叶切除术可降低喉返神经损伤发生率.
目的 探討甲狀腺腺葉切除術的技術改進對于喉返神經的保護作用.方法 迴顧性分析2010年1月至2011年1月85例接受改良甲狀腺腺葉切除術患者的臨床資料.結果 本組病例均實現清晰術野,共解剖齣喉返神經126條,共齣現2例單側喉返神經一過性損傷,損傷率為1.59％(2/126),無雙側喉返神經損傷,無永久性喉返神經損傷.結論 通過改進甲狀腺腺葉切除技術,實施精確甲狀腺腺葉切除術可降低喉返神經損傷髮生率.
목적 탐토갑상선선협절제술적기술개진대우후반신경적보호작용.방법 회고성분석2010년1월지2011년1월85례접수개량갑상선선협절제술환자적림상자료.결과 본조병례균실현청석술야,공해부출후반신경126조,공출현2례단측후반신경일과성손상,손상솔위1.59％(2/126),무쌍측후반신경손상,무영구성후반신경손상.결론 통과개진갑상선선협절제기술,실시정학갑상선선협절제술가강저후반신경손상발생솔.
Objective To evaluate the effectiveness of surgical technique improvement in thyroid lobectomy for prevention of recurrent laryngeal nerve (RLN) injury. Methods The clinical data of 85 patients of thyroid disease undergoing 126 lobectomies from Jan 2010 to Jan 2011 were retrospectively analyzed.All patients undergone accurate thyroid lobectomy with accurate envelop anatomic dissection,skeletonized blood vessels. Recurrent laryngeal nerve was all dearly exposed. Results No-bleeding surgical area was achieved.The RLN was exposed.Unilateral temporary RLN injury occurred in 2 cases.The rate of RLN injury was 1.59％ (2/126). There was no bilateral and perpetual RLN injury.Conclusions Carrying through the accurate thyroid lobectomy,the incidence of RLN injury is low.
