CAJ | 학술논문

目的：探讨甲状腺手术中显露喉返神经与区域保护对喉返神经损伤的临床意义。方法：将342例甲状腺手术随机分成喉返神经显露组（Ⅰ组）和区域保护组（Ⅱ组），每组各171例。Ⅰ组在术中切断、结扎甲状腺峡部后，向上提起腺体，在其下背侧沿气管食管沟向甲状软骨下角方向游离，显露喉返神经。Ⅱ组在处理甲状腺下动脉前后2支时紧贴腺体结扎切断，不分离显露喉返神经。结果：Ⅰ组喉返神经损伤1例（0．58％）；Ⅱ组喉返神经损伤7例（4．09％）。结论：甲状腺手术中显露喉返神经对预防该神经损伤有重要意义。
목적：탐토갑상선수술중현로후반신경여구역보호대후반신경손상적림상의의。방법：장342례갑상선수술수궤분성후반신경현로조（Ⅰ조）화구역보호조（Ⅱ조），매조각171례。Ⅰ조재술중절단、결찰갑상선협부후，향상제기선체，재기하배측연기관식관구향갑상연골하각방향유리，현로후반신경。Ⅱ조재처리갑상선하동맥전후2지시긴첩선체결찰절단，불분리현로후반신경。결과：Ⅰ조후반신경손상1례（0．58％）；Ⅱ조후반신경손상7례（4．09％）。결론：갑상선수술중현로후반신경대예방해신경손상유중요의의。
Objective:To investigate the value of exposure of recurrent laryngeal nerve in operation and regional protection on the clini-cal significance of recurrent laryngeal nerve injury.Methods:342 cases of thyroid operation were randomly divided into exposure of recur-rent laryngeal nerve group ( groupⅠ) and regional protection group ( Group II) , 171 cases in each group.Cut off, in groupⅡ, intraop-erative ligation of isthmus of thyroid gland, bring up, in its back side along the tracheoesophageal groove to the inferior horn of thyroid car-tilage direction free, exposure of the recurrent laryngeal nerve.Group II in the treatment of inferior thyroid artery before and after the two branch close to the gland ligation, not revealed the separation of R LN.Results:1 cases of recurrent nerve injury group I (0.58%);la-ryngeal recurrent nerve injury in 7 cases (4.09%) in groupⅡthroat.Conclusion:Exposure of recurrent laryngeal nerve in thyroid opera-tion to prevent the nerve injury should be important.