CAJ | 학술논문

目的：重点研究和探讨甲状腺手术时喉返神经损伤的预防和治疗方法。方法：利用回顾性分析法对本院2010年1月1日-2012年12月31日收治的144例甲状腺手术患者的临床资料进行回顾性分析，将其按照收治先后顺序分为对照组和观察组各72例，对照组采用未显露喉返神经手术切除方法进行治疗；观察组采用显露喉返神经手术切除方法进行治疗。然后分析探讨两组患者喉返神经损伤情况、并发症发生率以及患者满意率。结果：观察组72例患者中喉返神经正常者70例（97.22%），出现喉返神经损伤者2例（2.78%），发生并发症者2例（2.78%）；对照组72例中喉返神经正常者62例（86.11%），出现喉返神经损伤者10例（13.89%），发生并发症者12例（16.67%）；观察组患者总满意率97.22%明显高于对照组患者的83.33%。由此可见观察组患者的喉返神经损伤情况、并发症发生率以及患者满意率均优于对照组，比较差异均有统计学意义（P<0.05）。结论：显露喉返神经手术切除方法治疗甲状腺患者具有很好的临床疗效，并且显著降低了手术时喉返神经损伤的发生，目前已经成为治疗甲状腺患者的主要手术方式，对我国甲状腺手术的发展具有重要价值。
목적：중점연구화탐토갑상선수술시후반신경손상적예방화치료방법。방법：이용회고성분석법대본원2010년1월1일-2012년12월31일수치적144례갑상선수술환자적림상자료진행회고성분석，장기안조수치선후순서분위대조조화관찰조각72례，대조조채용미현로후반신경수술절제방법진행치료；관찰조채용현로후반신경수술절제방법진행치료。연후분석탐토량조환자후반신경손상정황、병발증발생솔이급환자만의솔。결과：관찰조72례환자중후반신경정상자70례（97.22%），출현후반신경손상자2례（2.78%），발생병발증자2례（2.78%）；대조조72례중후반신경정상자62례（86.11%），출현후반신경손상자10례（13.89%），발생병발증자12례（16.67%）；관찰조환자총만의솔97.22%명현고우대조조환자적83.33%。유차가견관찰조환자적후반신경손상정황、병발증발생솔이급환자만의솔균우우대조조，비교차이균유통계학의의（P<0.05）。결론：현로후반신경수술절제방법치료갑상선환자구유흔호적림상료효，병차현저강저료수술시후반신경손상적발생，목전이경성위치료갑상선환자적주요수술방식，대아국갑상선수술적발전구유중요개치。
Objective:To research and study prevention and treatment methods of recurrent laryngeal nerve injury in thyroid surgery.Method:One hundred and forty-four cases of thyroid surgery clinical data in our hospital On January 1,2010-December 31,2012 were retrospectively analyzed by retrospective analysis method.The patients were randomly divided into the control and the observation group,72 cases in each group.The control group was treated with not expose laryngeal recurrent nerve surgery;the observation group was treated with expose laryngeal recurrent nerve surgery.Then the recurrent laryngeal nerve injury,complication rates and patient satisfaction rate results of two groups were analyzed and investigated.Result:In the 72 cases of the observation group,there were 70 cases of recurrent laryngeal nerve in normal people(97.22%),2 cases of recurrent laryngeal nerve injury (2.78%),2 cases occurred complications(2.78%);In the 72 cases of the control group,there were 62 cases of recurrent laryngeal nerve in normal people(86.11%),10 cases of recurrent laryngeal nerve injury(13.89%),12 cases occurred complications(16.67%);Total satisfaction rate of patients with the observation group was 97.22%,it was significantly higher than the control group(83.33%).The recurrent laryngeal nerve injury situation, complication rate and patient satisfaction of the observation group were better than the control group,the differences were statistically significant(P<0.05). Conclusion:Revealing the recurrent laryngeal nerve resection method of treatment of thyroid patients with good clinical efficacy,and significantly reduced the incidence of recurrent laryngeal nerve injury during surgery,has now become the treatment of patients with primary thyroid surgical approach for the development of thyroid surgery important value.