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主管:陕西省卫生健康委员会
主办:西安心身医学研究所
   西安交通大学第一附属医院
国际标准刊号:ISSN2096—1413
国内统一刊号:CN61—1503/R

甲状腺手术中暴露与非暴露对术后喉返神经损伤的影响对比

延生斌

(陕西省榆林市绥德县医院综合外科,陕西 榆林,718000)

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摘要:

目的 比较甲状腺手术中暴露喉返神经与非暴露喉返神经对术后喉返神经损伤的影响。方法 将2012年10月至2015年11月在我院行甲状腺手术的100例患者根据手术是否暴露喉返神经分成对照组和试验组,各50例。对照组采用非暴露喉返神经甲状腺手术,试验组采用暴露喉返神经甲状腺手术,对比两组患者的手术时间和病灶切除率,以及短暂性和永久性 喉返神经损伤发生率。结果 对照组患者平均手术时间短于试验组(P<0.05);两组患者病灶切除率均为100.00%;对照组暂时性喉返神经损伤率、永久性喉返神经损伤率均高于试验组(P<0.05)。结论 对甲状腺手术的患者采用暴露喉返神经方式,虽然会延长患者的手术时间,但会有效降低喉返神经损伤的概率,减轻患者术后痛苦。

关键词:甲状腺手术;暴露;喉返神经

中图分类号:R653文献标志码:A文章编号:2096-1413(2017)27-0065-02

    Effects of exposure and non-exposure on thoracic nerve injury in thyroid surgery
    YAN Sheng-bin
    (Department of General Surgery, Suide County Hospital, Yulin 718000, China)

    ABSTRACT: Objective To compare the effects of exposure and non-exposure on thoracic nerve injury in thyroid surgery. Methods One hundred patients who underwent thyroidectomy in our hospital from October 2012 to November 2015 were enrolled in this study. According to whether the patients were exposed to the recurrent laryngeal nerve or not, the patients were divided into control group (treated with non -exposed recurrent laryngeal nerve thyroid surgery) and experimental group (treated with exposed recurrent laryngeal nerve thyroid surgery), with 50 cases in each group. The operative time, lesion resection rate, incidence of transient and permanent recurrent laryngeal nerve injury were compared between the two groups. Results The operation time of the control group was shorter than that of the experimental group (P<0.05). The lesion resection rates of the both groups were 100.00% . The incidence rates of transient and permanent recurrent laryngeal nerve injury in the control group were higher than those in the experimental group (P<0.05). Conclusion Exposure to the recurrent laryngeal nerve in patients undergoing thyroid surgery may prolong the operation time, but it can reduce the risk of recurrent laryngeal nerve injury and alleviate the postoperative pain.
    KEYWORDS: thyroid surgery; exposure; recurrent laryngeal nerve

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