CAJ | 학술논문

目的：对甲状腺手术中造成喉返神经损伤原因进行分析，并探讨其相关的预防措施。方法：选择120例接受甲状腺手术患者，对其手术方式及显露喉返神经与喉返神经损伤的关系进行分析，并探讨其相关的预防措施。结果：与左侧甲状腺手术相比，行右侧甲状腺手术的患者手术易发生喉返神经损伤，差异具有统计学意义(P<0.05)；与再次手术组患者相比，初次手术的患者喉返神经损伤发生率低，差异具有统计学意义(P<0.05)；暴露喉返神经可以减少损伤喉返神经，差异具有统计学意义(P<0.05)。结论：多种因素均可影响喉返神经损伤的发生，右侧手术、再次手术患者易发生喉返神经损伤，而手术中暴露喉返神经，使其处在视野保护下，可以减少喉返神经损伤的发生。
목적：대갑상선수술중조성후반신경손상원인진행분석，병탐토기상관적예방조시。방법：선택120례접수갑상선수술환자，대기수술방식급현로후반신경여후반신경손상적관계진행분석，병탐토기상관적예방조시。결과：여좌측갑상선수술상비，행우측갑상선수술적환자수술역발생후반신경손상，차이구유통계학의의(P<0.05)；여재차수술조환자상비，초차수술적환자후반신경손상발생솔저，차이구유통계학의의(P<0.05)；폭로후반신경가이감소손상후반신경，차이구유통계학의의(P<0.05)。결론：다충인소균가영향후반신경손상적발생，우측수술、재차수술환자역발생후반신경손상，이수술중폭로후반신경，사기처재시야보호하，가이감소후반신경손상적발생。
Objective:To analyze the cause of recurrent laryngeal nerve injury in thyroid surgery, and explore the related precautions.Methods:120 patients underwent thyroid surgery were chosen, the surgical approach and reveal the relationship of the recurrent laryngeal nerve and recurrent laryngeal nerve injury were analyzed, the prevention measures were explored.Results:Compared with the left thyroid surgery, right thyroid surgery in patients prone to recurrent laryngeal nerve injury, the difference with statistical significance (P<0.05); reoperation patients compared to initial surgery had a low incidence of recurrent laryngeal nerve injury, the difference had statistically significant (P<0.05);exposed to the recurrent laryngeal nerve can reduce the recurrent laryngeal nerve injury,and the difference had statistically significant (P<0.05). Conclusion:many factors could affect the incidence of recurrent laryngeal nerve injury, the right side of the surgery, reoperation in patients prone to recurrent laryngeal nerve injury, surgery exposed the recurrent laryngeal nerve, it is in the field of view under the protection of the recurrent laryngeal nerve injury can be reduced place.