大家健康（下旬版）
大傢健康（下旬版）
대가건강（하순판）
For All Health
2015年
10期
20
,共1页
甲状腺手术%喉返神经损伤%预防%治疗
甲狀腺手術%喉返神經損傷%預防%治療
갑상선수술%후반신경손상%예방%치료
thyroid surgery%recurrent laryngeal nerve injury%prevention%treatment
目的:总结分析预防和治疗甲状腺手术后喉返神经损伤的经验.方法:将94例甲状腺患者随机分为对照组和观察组 ,分别采用不显露喉返神经手术方式和显露喉返神经手术方式 ,观察并统计两组患者术后出现喉返神经损伤例数 ,调查患者对于手术的满意程度. 对于出现喉返神经损伤的患者 ,观察治疗效果并进行随访 ,总结预防和治疗措施.结果:对照组喉返神经损伤发生率为12 .8% ,显著高于观察组(P<0 .05 ) ,患者满意率显著低于观察组(P<0 .05 ).接受治疗的6例喉返神经损伤患者随访1年后 ,全部恢复.结论:甲状腺手术时暴露喉返神经可以在一定程度上预防喉返神经损伤 ,而且手术治疗和药物保守治疗同时进行 ,有利于喉返神经损伤患者的恢复.
目的:總結分析預防和治療甲狀腺手術後喉返神經損傷的經驗.方法:將94例甲狀腺患者隨機分為對照組和觀察組 ,分彆採用不顯露喉返神經手術方式和顯露喉返神經手術方式 ,觀察併統計兩組患者術後齣現喉返神經損傷例數 ,調查患者對于手術的滿意程度. 對于齣現喉返神經損傷的患者 ,觀察治療效果併進行隨訪 ,總結預防和治療措施.結果:對照組喉返神經損傷髮生率為12 .8% ,顯著高于觀察組(P<0 .05 ) ,患者滿意率顯著低于觀察組(P<0 .05 ).接受治療的6例喉返神經損傷患者隨訪1年後 ,全部恢複.結論:甲狀腺手術時暴露喉返神經可以在一定程度上預防喉返神經損傷 ,而且手術治療和藥物保守治療同時進行 ,有利于喉返神經損傷患者的恢複.
목적:총결분석예방화치료갑상선수술후후반신경손상적경험.방법:장94례갑상선환자수궤분위대조조화관찰조 ,분별채용불현로후반신경수술방식화현로후반신경수술방식 ,관찰병통계량조환자술후출현후반신경손상례수 ,조사환자대우수술적만의정도. 대우출현후반신경손상적환자 ,관찰치료효과병진행수방 ,총결예방화치료조시.결과:대조조후반신경손상발생솔위12 .8% ,현저고우관찰조(P<0 .05 ) ,환자만의솔현저저우관찰조(P<0 .05 ).접수치료적6례후반신경손상환자수방1년후 ,전부회복.결론:갑상선수술시폭로후반신경가이재일정정도상예방후반신경손상 ,이차수술치료화약물보수치료동시진행 ,유리우후반신경손상환자적회복.
Objective :To summarize and analyze the experience of prevention and treatment of recurrent laryngeal nerve injury after thyroid surger-y .Methods :94 cases of thyroid patients were randomly divided into for the observation group and the control group ,respectively with no exposure of the recurrent laryngeal nerve surgery and exposure of the recurrent laryngeal nerve surgery ,observation and statistics of two groups of patients ap-peared recurrent laryngeal nerve injury cases investigation of patient satisfaction with the surgery .For patients with recurrent laryngeal nerve injury , observe the effect of treatment and follow -up ,summarize the prevention and treatment measures .Results :the incidence of recurrent laryngeal nerve injury in control group was 12 .8% ,significantly higher than that of the observation group (P<0 .05) ,and the satisfaction rate of patients was signifi-cantly lower than that of the observation group (P<0 .05) .After 1 years of follow -up ,6 cases of recurrent laryngeal nerve injury were recovered . Conclusion:thyroid surgery exposure of recurrent laryngeal nerve in a certain extent ,prevention of recurrent laryngeal nerve injury ,and surgical treat-ment and conservative treatment of drug at the same time ,is conducive to the recurrent laryngeal nerve injury patients recovery .
