CAJ | 학술논문

目的探讨喉返神经解剖在甲状腺手术中的应用.方法回顾性分析我院2008年6月至2013年7月共193例(解剖组106例与对照组87例)甲状腺腺手术中发生喉返神经(recurent laryngeal nerve,RLN)损伤的临床资料.结果解剖组一侧手术时间52 ～ 96 min,平均65.3 min.对照组一侧手术时间45～68 min,平均52.6 min;解剖组RLN损伤共2例,发生率1.98％(2/106),无永久喉返神经损伤病例.对照组喉返神经损伤发生率为6.90％(6/87),永久性损伤2例(2.30％).结论甲状腺切除术中RLN解剖是减少RLN损伤发生和避免永久损伤的有效方法.
목적 탐토후반신경해부재갑상선수술중적응용.방법 회고성분석아원2008년6월지2013년7월공193례(해부조106례여대조조87례)갑상선선수술중발생후반신경(recurent laryngeal nerve,RLN)손상적림상자료.결과 해부조일측수술시간52 ～ 96 min,평균65.3 min.대조조일측수술시간45～68 min,평균52.6 min;해부조RLN손상공2례,발생솔1.98％(2/106),무영구후반신경손상병례.대조조후반신경손상발생솔위6.90％(6/87),영구성손상2례(2.30％).결론 갑상선절제술중RLN해부시감소RLN손상발생화피면영구손상적유효방법.
Objective To investigate the application of anatomization of recurrent laryngeal nerve (RLN) in thyroidectomy.Method Retrospectively analyzed RLN injury in 193 cases of thyroid gland surgery (106 cases in anatomical group,87 cases in control group) from June 2008 to July 2013.Results The operation time on one side in anatomical group was 52-96 min,an average of 65.3 min; that in control group was 45-68 min,an average of 52.6 min.There were 2 cases of RLN injury in anatomical group,accounting for 1.98％(2/106),without permanent recurrent laryngeal nerve injury.The incidcnce of recurrent laryngeal nerve injury in control group was 6.90％ (6/87),with 2 cases (2.30％) of permanent injury.Conclusion Anatomization of recurrent laryngeal nerve is a effective method to reduce RLN injury and prevent permanent RLN injury in thyroidectomy.