探讨高风险甲状腺手术中显露喉返神经对预防喉返神经受损的临床作用

孙健，顾小华，黄三勤，王鑫羊

（江苏省如皋市博爱医院普外科，江苏 南通，226500）

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摘要：

目的 探讨高风险甲状腺手术中显露喉返神经对预防喉返神经受损的临床作用。方法 选取我院2014年1月至2016年5月收治的实施高风险甲状腺手术患者60例为研究对象，随机分为试验组与对照组，各30 例。对照组采取常规手术方法，试 验组在高风险甲状腺手术中显露喉返神经。对比两组手术时间、术中出血量、术后引流时间、术后引流量及喉返神经受损情 况。结果 试验组喉返神经受损总发生率明显低于对照组，差异显著（P<0.05）；试验组的手术时间明显长于对照组，差异显著（P<0.05）。两组的术中出血量、术后引流时间、术后引流量比较，差异无统计学意义（P>0.05）。结论 高风险甲状腺手术中良好 地显露喉返神经有利于降低喉返神经受损的发生率，对预防喉返神经受损有着积极作用，值得临床推广。

关键词：高风险甲状腺手术；显露喉返神经；喉返神经受损

中图分类号：R653文献标志码：A文章编号：2096-1413(2017)35-0072-02

Clinical effect investigation of revealing recurrent laryngeal nerve in the prevention of recurrent laryngeal nerve injury in high-risk thyroid surgery
SUN Jian, GU Xiao-hua, HUANG San-qin, WANG Xin-yang
(General Surgery Department, Bo``ai Hospital of Rugao City, Nantong 226500, China)

ABSTRACT: Objective To investigate the clinical effect of revealing recurrent laryngeal nerve in the prevention of recurrent laryngeal nerve injury in high-risk thyroid surgery. Methods Sixty patients undergoing high-risk thyroid surgery in our hospital from January 2014 to May 2016 were selected as subjects and divided into experimental group and control group according to the principle of randomization, with 30 cases in each group. The control group was treated with conventional operation, the experimental group exposed the recurrent laryngeal nerve in high-risk thyroid surgery. The operation time, loss of intraoperative blood, postoperative drainage time, postoperative drainage volume and injury of recurrent laryngeal nerve of the two groups were compared. Results The total incidence rate of recurrent laryngeal nerve injury in the experimental group was significantly lower than that in the control group (P<0.05). The operation time of the experimental group was significantly longer than that of the control group (P<0.05). There was no significant difference in the loss of intraoperative blood, postoperative drainage time and drainage volume (P>0.05). Conclusion Good exposure of the recurrent laryngeal nerve in high-risk thyroid surgery is beneficial to reducing the incidence of recurrent laryngeal nerve injury, with positive effect in prevention of recurrent laryngeal nerve injury, and is worthy of clinical promotion.
KEYWORDS: high-risk thyroid surgery; revealed recurrent laryngeal nerve; recurrent laryngeal nerve injury

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