CAJ | 학술논문

目的探讨甲状腺手术中显露喉返神经对预防其损伤的临床意义.方法 469例甲状腺手术患者随机分成显露喉返神经组(A组)233例和不显露喉返神经组(B组)236例,对两组喉返神经损伤率进行比较.结果 A组喉返神经总损伤率0.86%,无永久损伤病例;B组喉返神经总损伤率5.10%,永久性损伤率2.54%.两组喉返神经总损伤率比较差异有统计学意义(P<0.05),永久损伤率差异有统计学意义(P<0.05).结论甲状腺手术中积极显露喉返神经可以有效预防喉返神经的损伤.
목적 탐토갑상선수술중현로후반신경대예방기손상적림상의의.방법 469례갑상선수술환자수궤분성현로후반신경조(A조)233례화불현로후반신경조(B조)236례,대량조후반신경손상솔진행비교.결과 A조후반신경총손상솔0.86%,무영구손상병례;B조후반신경총손상솔5.10%,영구성손상솔2.54%.량조후반신경총손상솔비교차이유통계학의의(P<0.05),영구손상솔차이유통계학의의(P<0.05).결론 갑상선수술중적겁현로후반신경가이유효예방후반신경적손상.
Objective To investigate the clinical significance of exposing recurrent laryngeal nerve (RLN) in thyroid surgery. Methods 469 cases of thyroid operation were divided into terms A(it contains 233 cases for exposing RLN) and B(it contains 236 cases for no exposing RLN) ;compared the injury rates of RLN with two terms. Results The overall incidence of RLN injury of terms A was 0.86%, and with none cases for permanent damage; The overall incidence of RLN injury of terms B was 5.10%, and with an incidence of 2.54% for permanent damage. Their differences of the overall incidence injury rate of RLN and the permanent damage rate between the two terms, were statistical significance (P<0.05). Conclusion The occurrence of RLN injury can be prevented effectively by exposing RLN during thyroid operation.