显露喉返神经在甲状腺手术中的体会

目的：探讨甲状腺手术中解剖喉返神经对预防和减少喉返神经损伤的意义。方法：回顾性分析186例甲状腺手术的临床资料，分析手术中有计划显露喉返神经导致喉返神经损伤的发生率。结果：显露喉返神经的甲状腺切除术中，喉返神经损伤3例，其中暂时性损伤2例，永久性损伤1例，喉返神经总损伤率为1．61％，永久性损伤率为0．54％。结论：甲状腺手术中正确辨认并安全地解剖喉返神经可以预防喉返神经损伤，降低喉返神经的损伤率。

The experience of exposing the recurrent laryngeal nerve in the operation of thyroid gland

Objective: To discuss the significance of dissecting throat return nerve to prevent and decrease nerve damage in operation of thyroid gland.Method: Retrospectively analyzed clinical data of the 180 patients performed operations of thyroid gland and analysis the occurrence rate of the recurrent laryngeal nerve injury when exposing the nerve in the operation of thyroid gland.Result: In the thyroidectomy operation of exposing the recurrent laryngeal nerve,there were 3 cases with the recurrent laryngeal nerve injury and 2 cases injured temporarily,1 case injured perpetually.The total of the recurrentlaryngeal nerve injury rate was 1.61% and perpetual injury rate was 0.54%.Conclusion: In the operation of thyroid gland,identifying correctly and dissecting safely the recurrent laryngeal nerve may prevent the nerve injury and decrease its occurrence rate.