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甲状腺肿瘤手术中喉返神经损伤的预防
引用本文:林建英,杨熙鸿,杨捷生,陈伟正,郭海鹏.甲状腺肿瘤手术中喉返神经损伤的预防[J].临床肿瘤学杂志,2002,7(1).
作者姓名:林建英  杨熙鸿  杨捷生  陈伟正  郭海鹏
作者单位:515031,广东,汕头大学医学院附属肿瘤医院外科
摘    要:目的 :探讨甲状腺手术中喉返神经损伤的原因及预防措施。方法 :手术治疗甲状腺疾病 12 5例 ,术中显露喉返神经 ,行甲状腺腺叶或腺叶 峡部切除术治疗原发灶。结果 :共解剖喉返神经 14 5侧 ,术后出现暂时性喉返神经损伤 1例 ,喉返神经损伤发生率为 0 8% (1/12 5 )。结论 :熟悉喉返神经的解剖及变异 ,术中显露喉返神经 ,行瘤侧腺叶或腺叶 峡部切除术 ,能避免损伤喉返神经 ,是甲状腺肿瘤手术中预防喉返神经损伤的有效方法

关 键 词:甲状腺  手术  喉返神经  损伤  预防

Prevention of the Injury of Recurrent Laryngeal Nerve in Thyroid Surgery
Lin Jianying,Yang Xihong,Yang Jiesheng,et al..Prevention of the Injury of Recurrent Laryngeal Nerve in Thyroid Surgery[J].Chinese Clinical Oncology,2002,7(1).
Authors:Lin Jianying  Yang Xihong  Yang Jiesheng  
Institution:Lin Jianying,Yang Xihong,Yang Jiesheng,et al.Department of Surgery,Tumor Hospital of Medical College of Shantou University,Shantou,515031.
Abstract:Cbjective:To study the causes of injury of recurrent laryngeal nerve (RLN) in thyroid surgery and preventive measures.Methods:125 patients with thyroid diseases underwent operation,RLN were dissected in general,the primary mass were treated by lobectomy or isthmus and lobectomy of thyroid gland.Results:1 case of RLN palsy occurred temporarily postoperativly,RLN palsy rate was 0.8%(1/125).Conclusion:The anatomy and variation of RLN must be well known,and the dissection of RLN in generl is a effective method to prevent the injury of RLN in thyroid surgery.
Keywords:Thyroid  Surgery  Recurrent laryngeal nerve  Injury  Prevention
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