中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2014年
35期
12-13
,共2页
甲状腺%喉返神经%手术方式
甲狀腺%喉返神經%手術方式
갑상선%후반신경%수술방식
Thyroid%Recurrent laryngeal nerve%Operation mode
目的：探讨甲状腺不同术式中显露喉返神经的应用价值，以及对于预防其损伤临床研究的必要性。方法将2010年3月—2014年2月该院实施的142例甲状腺手术患者，按照是否术中显露喉返神经分为解剖组（79例)及非解剖组（63例)，比较两组患者手术方式、手术时间、术后喉返神经损失情况、住院时间。结果解剖组的手术时间长于非解剖组（P<0.05)；解剖组的术后喉返神经损失率低于非解剖组（P<0.01)，其中解剖组采取甲状腺次全切除术与非解剖组的喉返神经损伤率比较，差异无统计学意义（P>0.05)，而采取甲状腺全切除术时，其中解剖组喉返神经损伤率低于非解剖组（P<0.01)。结论显露喉返神经在甲状腺手术中能够避免损伤，尤其是在甲状腺全切除术中时应常规显露喉返神经。
目的：探討甲狀腺不同術式中顯露喉返神經的應用價值，以及對于預防其損傷臨床研究的必要性。方法將2010年3月—2014年2月該院實施的142例甲狀腺手術患者，按照是否術中顯露喉返神經分為解剖組（79例)及非解剖組（63例)，比較兩組患者手術方式、手術時間、術後喉返神經損失情況、住院時間。結果解剖組的手術時間長于非解剖組（P<0.05)；解剖組的術後喉返神經損失率低于非解剖組（P<0.01)，其中解剖組採取甲狀腺次全切除術與非解剖組的喉返神經損傷率比較，差異無統計學意義（P>0.05)，而採取甲狀腺全切除術時，其中解剖組喉返神經損傷率低于非解剖組（P<0.01)。結論顯露喉返神經在甲狀腺手術中能夠避免損傷，尤其是在甲狀腺全切除術中時應常規顯露喉返神經。
목적：탐토갑상선불동술식중현로후반신경적응용개치，이급대우예방기손상림상연구적필요성。방법장2010년3월—2014년2월해원실시적142례갑상선수술환자，안조시부술중현로후반신경분위해부조（79례)급비해부조（63례)，비교량조환자수술방식、수술시간、술후후반신경손실정황、주원시간。결과해부조적수술시간장우비해부조（P<0.05)；해부조적술후후반신경손실솔저우비해부조（P<0.01)，기중해부조채취갑상선차전절제술여비해부조적후반신경손상솔비교，차이무통계학의의（P>0.05)，이채취갑상선전절제술시，기중해부조후반신경손상솔저우비해부조（P<0.01)。결론현로후반신경재갑상선수술중능구피면손상，우기시재갑상선전절제술중시응상규현로후반신경。
Objective To investigate the application significance of exposing the recurrent laryngeal nerve in different thyroid surgeries, and its necessity for preventing the injury of the nerve in clinical research. Methods 142 patients underwent thyroid surgery in our hospital from March 2010 to February 2014 were divided into the anatomical group (79 cases) and the non-anatom-ical group(63 cases) according to whether the recurrent laryngeal nerve was exposed in the surgery. And the operation mode, dura-tion of operation, postoperative recurrent laryngeal nerve injury and the length of stay were compared between the two groups. Re-sults The duration of operation of the anatomical group was longer than that of the non-anatomical group (P<0.05);the rate of post-operative recurrent laryngeal nerve injury of the anatomical group was lower than that of the non-anatomical group (P<0.01); the difference was not statistically significant between the two groups in the rate of recurrent laryngeal nerve injury when taking subto-tal thyroidectomy (P>0.05) while the rate of recurrent laryngeal nerve injury of the anatomical group was lower than that of the non-anatomical group when taking total thyroidectomy (P<0.01). Conclusion Exposing the recurrent laryngeal nerve in thyroid surgery can avoid the injury of the nerve, especially in total thyroidectomy the nerve should be exposed conventionally.
