中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
CHINESE JOURNAL OF PRACTICAL NERVOUS DISEASES
2015年
3期
49-50
,共2页
喉返神经损伤%甲状腺癌%根治术
喉返神經損傷%甲狀腺癌%根治術
후반신경손상%갑상선암%근치술
Recurrent laryngeal nerve%Injury%Thyroid cancer%Radical resection
目的：探讨显露喉返神经（RL N ）在甲状腺根治术中的应用。方法收集甲状腺癌根治术患者260例，随机分为观察组与对照组各130例，观察组术中显露RL N ，对照组术中不显露RL N ，比较2组手术效果。结果观察组RL N损伤发生率1.54％，显著低于对照组的10.77％（ P＜0.05）；2组手术时间、术中出血量无明显差异（ P＞0.05），观察组淋巴结清扫数显著高于对照组（P＜0.05）。结论在甲状腺癌根治术中显露RLN ，能够保护RLN ，降低RLN损伤发生率，可提高手术效果，值得推广应用。
目的：探討顯露喉返神經（RL N ）在甲狀腺根治術中的應用。方法收集甲狀腺癌根治術患者260例，隨機分為觀察組與對照組各130例，觀察組術中顯露RL N ，對照組術中不顯露RL N ，比較2組手術效果。結果觀察組RL N損傷髮生率1.54％，顯著低于對照組的10.77％（ P＜0.05）；2組手術時間、術中齣血量無明顯差異（ P＞0.05），觀察組淋巴結清掃數顯著高于對照組（P＜0.05）。結論在甲狀腺癌根治術中顯露RLN ，能夠保護RLN ，降低RLN損傷髮生率，可提高手術效果，值得推廣應用。
목적：탐토현로후반신경（RL N ）재갑상선근치술중적응용。방법수집갑상선암근치술환자260례，수궤분위관찰조여대조조각130례，관찰조술중현로RL N ，대조조술중불현로RL N ，비교2조수술효과。결과관찰조RL N손상발생솔1.54％，현저저우대조조적10.77％（ P＜0.05）；2조수술시간、술중출혈량무명현차이（ P＞0.05），관찰조림파결청소수현저고우대조조（P＜0.05）。결론재갑상선암근치술중현로RLN ，능구보호RLN ，강저RLN손상발생솔，가제고수술효과，치득추엄응용。
Objective To investigate the significant of exposing the recurrent laryngeal nerve (RLN) in thyroid operation. Methods The data of 260 patients with thyroid carcinoma operation were collected ,and the patients were randomly divided in‐to observation group (130 cases) and control group (130 cases). RLN was exposed in the observation group and not exposed in the control group. Results The injure incidence of RLN was 1. 54% in the observation group ,which was significantly lower than of 10. 77% in the control group (P< 0. 05). These were no significant differences in operative time and intraoperative blood loss in the two group (P>0. 05) ,the values of lymph node in observation group were significantly higher than those in control group (P<0. 05). Conclusion Exposing RLN in operation of thyroid cancer can protect the RLN and reduce the dam‐age rate of RLN ,which can improve the operation effect. It is worthy of popularization and application.
