巨大甲状腺手术的喉返神经保护

巨大甲状腺的喉返神经由于变异走行容易发生暂时性的神经麻痹和损伤 方法：笔者11年间行喉返神经全程暴露的甲状腺手术病例，回顾喉返神经手术后的麻痹率和损伤率 结果：2051例患者中，巨大甲状腺肿喉返神经麻痹发生率占全部甲状腺肿的11.85%，在全部病例中有明显的意义（p<0.001），喉返神经损伤的发生率也有明显的意义（p=0.006）。 结论：巨大甲状腺肿由于喉返神经变异走行，容易发生暂时性的麻痹和损伤，手术宜精确保护。

Protection of the recurrent laryngeal nerve in giant thyroid surgery

The recurrent laryngeal nerve of giant thyroid is prone to temporary neurological paralysis and injury due to mutation. The authors performed thyroid surgery in the whole process of recurrent laryngeal nerve in 11 years. The paralysis rate and injury rate after recurrent laryngeal nerve surgery were reviewed. RESULTS: Among 2051 patients, the incidence of giant thyroid recurrent laryngeal paralysis accounted for 11.85% of all goiters. It was evident in all cases (p<0.001), and the incidence of recurrent laryngeal nerve injury was also significant ( p=0.006). Conclusion: Giant goiter is prone to temporary paralysis and injury due to variability of the recurrent laryngeal nerve. Surgery should be precisely protected.