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| 显露喉返神经在甲状腺手术中的意义及临床分析 | |
| 引用本文： | 孙留安,王章恩,马亚杰. 显露喉返神经在甲状腺手术中的意义及临床分析[J]. 中国临床实用医学, 2009, 4(8): 87-88. DOI: 10.3760/cma.j.issn 1673-8799.2010.04.46 |
| 作者姓名： | 孙留安 王章恩 马亚杰 |
| 作者单位： | 濮阳市第五人民医院普外科,457000; |
| 摘 要： | 目的 探讨甲状腺手术中显露喉返神经对预防其损伤的临床意义.方法 469例甲状腺手术患者随机分成显露喉返神经组(A组)233例和不显露喉返神经组(B组)236例,对两组喉返神经损伤率进行比较.结果 A组喉返神经总损伤率0.86%,无永久损伤病例;B组喉返神经总损伤率5.10%,永久性损伤率2.54%.两组喉返神经总损伤率比较差异有统计学意义(P<0.05),永久损伤率差异有统计学意义(P<0.05).结论 甲状腺手术中积极显露喉返神经可以有效预防喉返神经的损伤. |
| 关 键 词： | 甲状腺手术 喉返神经 损伤 |
The siginificance and clinical analysis of exposing recurrent laryngeal nerve in tryroid surgery |
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| SUN Liu-an,WANG Zhang-en,MA Ya-Jie. The siginificance and clinical analysis of exposing recurrent laryngeal nerve in tryroid surgery[J]. China Clinical Practical Medicine, 2009, 4(8): 87-88. DOI: 10.3760/cma.j.issn 1673-8799.2010.04.46 | |
| Authors: | SUN Liu-an WANG Zhang-en MA Ya-Jie |
| Abstract: | Objective To investigate the clinical significance of exposing recurrent laryngeal nerve (RLN) in thyroid surgery. Methods 469 cases of thyroid operation were divided into terms A(it contains 233 cases for exposing RLN) and B(it contains 236 cases for no exposing RLN) ;compared the injury rates of RLN with two terms. Results The overall incidence of RLN injury of terms A was 0.86%, and with none cases for permanent damage; The overall incidence of RLN injury of terms B was 5.10%, and with an incidence of 2.54% for permanent damage. Their differences of the overall incidence injury rate of RLN and the permanent damage rate between the two terms, were statistical significance (P<0.05). Conclusion The occurrence of RLN injury can be prevented effectively by exposing RLN during thyroid operation. |
| Keywords: | Thyroid operationRecurrent Laryngeal NerveInjury |