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锁骨下内镜甲状腺切除术喉返神经的保护
引用本文:李英彬,黄晓明. 锁骨下内镜甲状腺切除术喉返神经的保护[J]. 内蒙古医学杂志, 2014, 0(1): 23-25
作者姓名:李英彬  黄晓明
作者单位:[1]内蒙古自治区人民医院肿瘤外科,内蒙古呼和浩特010017 [2]中山大学孙逸仙纪念医院耳鼻喉头颈外科,广东广州510120
摘    要:目的 探讨内镜下甲状腺切除手术喉返神经的保护.方法 中山大学孙逸仙纪念医院耳鼻喉头颈外科58例患者,均行经锁骨下入路无注气内镜辅助下甲状腺腺叶切除,术中常规暴露喉返神经.结果 手术均顺利完成,术中无喉返神经损伤发生.结论 经锁骨下入路无注气内镜下甲状腺切除术是一种先进的微创手术方式,常规暴露喉返神经不会增加损伤机率.

关 键 词:甲状腺切除术  内镜  喉返神经  损伤

Prevention of Recurrent Laryngeal Nerve Injury at Endoscopic Thyroidectomy Through Subclavicular Approach
LI Ying-bin,HUANG Xiao-ming. Prevention of Recurrent Laryngeal Nerve Injury at Endoscopic Thyroidectomy Through Subclavicular Approach[J]. Inner Mongolia Medical Journal, 2014, 0(1): 23-25
Authors:LI Ying-bin  HUANG Xiao-ming
Affiliation:1. Department of surgical oncology, Inner Mongolia People's Hospital, Huhhot 010017 China ; 2. Department ent head and neck surgery, Sun yat - sen memorial hospital of zhongshan university, guangzhou 510120 China )
Abstract:Objective To discuss the methods of the prevention of recurrent laryngeal nerve injury at endoscopic thyroidectomy through subclavicular approach. Methods The clinical data from 58 Patients undergoing endoscopic thyroidectomy from Jan 2013 to Jun 2013, in the department of ENT/Head and Neck Surgery, the Second Affiliated Hospital of SunYat - sen University, They all underwent thyroid gland lobectomy, Exposing the recurrent laryngeal nerve during total thyroid lobectomy. Result The 50 operations were sueeessful. No complications happened. Conclusion Thyroidectomy through subclavicular approach under endoscope is minimally invasive thyroidectomy, thyroid gland lobectomy not increased recurrent laryngeal nerve injury incidence.
Keywords:thyroidectomy  Endoscope  recurrent laryngeal nerve  injury
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