中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2013年
23期
82-83
,共2页
梁锡枝%覃文%郭文邦%钱立友%黎蓉%石少燕
樑錫枝%覃文%郭文邦%錢立友%黎蓉%石少燕
량석지%담문%곽문방%전립우%려용%석소연
甲状腺全切除术%甲状腺次全切除术%中间入路%喉返神经损伤%并发症
甲狀腺全切除術%甲狀腺次全切除術%中間入路%喉返神經損傷%併髮癥
갑상선전절제술%갑상선차전절제술%중간입로%후반신경손상%병발증
Total thyroidectomy%Subtotal thyroidectomy%Medial approach%Recurrent laryngeal nerve injury%Complications
目的 探讨中间入路解剖喉返神经在甲状腺全切和次全切除术应用的作用.方法 对281例中间入路解剖喉返神经在甲状腺全切和次全切除术应用的临床资料进行回顾性分析.结果 281例在术中共解剖喉返神经537条.术后出现声音嘶哑3例,其中2例经消肿、营养神经治疗2周内发音恢复正常;1例声音嘶哑症状改善,但未能完全康复,6个月后喉镜检查声带考虑永久性麻痹.结论 为减少喉返神经损伤,在甲状腺手术中运用中间入路解剖喉返神经是一种更安全有效的新方法.
目的 探討中間入路解剖喉返神經在甲狀腺全切和次全切除術應用的作用.方法 對281例中間入路解剖喉返神經在甲狀腺全切和次全切除術應用的臨床資料進行迴顧性分析.結果 281例在術中共解剖喉返神經537條.術後齣現聲音嘶啞3例,其中2例經消腫、營養神經治療2週內髮音恢複正常;1例聲音嘶啞癥狀改善,但未能完全康複,6箇月後喉鏡檢查聲帶攷慮永久性痳痺.結論 為減少喉返神經損傷,在甲狀腺手術中運用中間入路解剖喉返神經是一種更安全有效的新方法.
목적 탐토중간입로해부후반신경재갑상선전절화차전절제술응용적작용.방법 대281례중간입로해부후반신경재갑상선전절화차전절제술응용적림상자료진행회고성분석.결과 281례재술중공해부후반신경537조.술후출현성음시아3례,기중2례경소종、영양신경치료2주내발음회복정상;1례성음시아증상개선,단미능완전강복,6개월후후경검사성대고필영구성마비.결론 위감소후반신경손상,재갑상선수술중운용중간입로해부후반신경시일충경안전유효적신방법.
Objective To study the effect of medial approach on recurrent laryngeal nerve dissection in total thyroidectomy and subtotal thyroidectomy.Methods The clinical data of 281 patients with medial approach for recurrent laryngeal nerve dissection in total thyroidectomy and subtotal thyroidectomy were analyzed.Results Five hundred and thirty-seven recurrent laryngeal nerve were dissected during the surgery.There were 3 cases of hoarseness after operation.Two cases were treated by relieving swelling,nerve nutrition for two weeks,the pronunciation returned to normal.One case of hoarseness improved,but not fully recovered,and was considered permanent paralysis after laryngoscopy six months later.Conclusions In order to reduce the recurrent laryngeal nerve injury,the method of medial approach to anatomy the recurrent laryngeal nerve is safe and effective in thyroid surgery.
