甲状腺手术中显露喉返神经的临床价值

目的探讨甲状腺手术中显露喉返神经的方法及其对预防喉返神经损伤的临床价值。方法将甲状腺患者126例随机分为显露组（64例）和未显露组（62例）,分别进行显露喉返神经的手术和未显露喉返神经（保护喉返神经解剖区域）的手术,经甲状腺下动脉径路显露60例（93.8%）;经喉返神经入喉处及峡部至气管食管沟径路各显露3例（4.7%）和1例（1.5%）。结果显露组喉返神经损伤0例,未显露组损伤4例。显露组发生喉返神经损伤的概率显著低于未显露组（P〈0.05）。结论甲状腺手术中常规显露喉返神经能降低喉返神经损伤的发生率。显露应从甲状腺下动脉径路,全程显露喉返神经。

Thyroid surgery to show the clinical value of the recurrent laryngeal nerve

Objective Discussion revealed recurrent laryngeal nerve in thyroid surgery and its impact on the way to prevent the clinical value of the recurrent laryngeal nerve injury. Methods 126 cases of thyroid patients will be randomly divided into groups and shown not to show groups to show for the recurrent laryngeal nerve surgery and did not reveal recurrent laryngeal nerve （recurrent laryngeal nerve anatomy of the protection of the region）of the operation,revealed 64 cases of recurrent laryngeal nerve group,did not show group of 62 cases of recurrent laryngeal nerve. By the thyroid artery approach revealed 60 cases, accounting for 93. 8 percent; by the recurrent laryngeal nerve laryngeal department and the isthmus to tracheoesophageal groove approach to show the 3 （4. 7% ） andl （ 1.5% ）, respectively. Results Group revealed 0 cases of recurrent laryngeal nerve injury, the injury did not reveal Group4. Group to show the probability of occurrence of recurrent laryngeal nerve injury was significantly lower than non-exposed group（ P〈0. 05）. Conclusion Conventional thyroid surgery revealed recurrent laryngeal nerve injury can reduce the incidence of recurrent laryngeal nerve. Should be revealed thyroid artery approach, to show the whole recurrent laryngeal nerve.