中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
10期
3-4
,共2页
小切口甲状腺%常规显露保护%喉返神经损伤
小切口甲狀腺%常規顯露保護%喉返神經損傷
소절구갑상선%상규현로보호%후반신경손상
Small incision thyroid%Conventional revealing protection%Recurrent laryngeal nerve injury
目的 探讨小切口甲状腺手术常规显露中的喉返神经的保护.方法 随机选取在漯河市第三人民医院接受小切口甲状腺手术治疗的患者189例,所有患者手术中都应用常规的显露保护方法,对患者的喉返神经损伤情况进行统计分析,探讨相关的小切口甲状腺手术常规显露喉返神经的保护方法.结果 189例患者中,共有248根喉返神经显露,其中上入路法显露56根,中入路法显露40根,下入路法显露152根,暂时性的喉返神经损伤率为0.81％,没有出现喉返神经切断情况,并且所有患者没有出现低钙、呼吸困难等并发症.结论 小切口甲状腺手术与传统的手术方法相比,具有适应证广、易操作、创伤小等特点,但是很容易导致出现喉返神经的损伤,手术过程中,对患者实施常规的显露保护非常必要.
目的 探討小切口甲狀腺手術常規顯露中的喉返神經的保護.方法 隨機選取在漯河市第三人民醫院接受小切口甲狀腺手術治療的患者189例,所有患者手術中都應用常規的顯露保護方法,對患者的喉返神經損傷情況進行統計分析,探討相關的小切口甲狀腺手術常規顯露喉返神經的保護方法.結果 189例患者中,共有248根喉返神經顯露,其中上入路法顯露56根,中入路法顯露40根,下入路法顯露152根,暫時性的喉返神經損傷率為0.81％,沒有齣現喉返神經切斷情況,併且所有患者沒有齣現低鈣、呼吸睏難等併髮癥.結論 小切口甲狀腺手術與傳統的手術方法相比,具有適應證廣、易操作、創傷小等特點,但是很容易導緻齣現喉返神經的損傷,手術過程中,對患者實施常規的顯露保護非常必要.
목적 탐토소절구갑상선수술상규현로중적후반신경적보호.방법 수궤선취재탑하시제삼인민의원접수소절구갑상선수술치료적환자189례,소유환자수술중도응용상규적현로보호방법,대환자적후반신경손상정황진행통계분석,탐토상관적소절구갑상선수술상규현로후반신경적보호방법.결과 189례환자중,공유248근후반신경현로,기중상입로법현로56근,중입로법현로40근,하입로법현로152근,잠시성적후반신경손상솔위0.81％,몰유출현후반신경절단정황,병차소유환자몰유출현저개、호흡곤난등병발증.결론 소절구갑상선수술여전통적수술방법상비,구유괄응증엄、역조작、창상소등특점,단시흔용역도치출현후반신경적손상,수술과정중,대환자실시상규적현로보호비상필요.
Objective To investigate the recurrent laryngeal nerve protection in routine thyroid surgery revealed small incision.Methods Randomly selected 189 patients with small incision thyroid surgery in the third people' s hospital of Luohe,all patients were applied with conventional surgery revealed protection methods for statistical analysis of patients with recurrent laryngeal nerve injury through,and investigate related routine thyroid surgery revealed small incision protection RLN protection methods.Results In 189 patients,revealed a total of 248 recurrent laryngeal nerve,which revealed approach law 56,the law revealed 40 into the road,down into the road law revealed 152,temporary recurrent laryngeal nerve injury rate of 0.81％,no case of recurrent laryngeal nerve cut appearance,and all patients didn' t appear hypocalcemia,breathing difficulties and other complications.Conclusions Small incision thyroid surgery compared with conventional surgical methods,with broad indications,easy to operate,trauma,et al,but can easily lead to recurrent laryngeal nerve damage occurs during surgery,for patients with conventional protection is very necessary to reveal.
