| 喉返神经显露技术在甲状腺手术中的应用 |
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| 引用本文： | 陈季松|张先林|龚学东|柯少波|黄彩平.喉返神经显露技术在甲状腺手术中的应用[J].中国普通外科杂志,2011,20(11):1161-1163. |
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| 作者姓名： | 陈季松|张先林|龚学东|柯少波|黄彩平 |
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| 作者单位： | 三峡大学附属仁和医院普通外科;复旦大学附属肿瘤医院头颈外科; |
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| 摘 要： | 目的探讨显露喉返神经(RLN)技术在甲状腺手术中预防RLN损伤的作用。方法采用前瞻、随机、对照的研究方法,将符合入选标准甲状腺手术患者373例随机分成观察组和对照组。观察组(173例)显露RLN行甲状腺手术,对照组(200例)不显露RLN行甲状腺手术,比较两组RLN损伤的发生率和预后情况。结果观察组共显露RLN 198条,RLN损伤率为0.5%(1/198),6个月内功能恢复,对照组RLN损伤率为6.0%(12/200),其中4例6个月内部分功能恢复,8例永久性损伤,两组比较差异有统计学意义(P<0.05)。结论甲状腺手术中常规显露RLN径路能有效降低RLN损伤的发生率。
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| 关 键 词： | 甲状腺疾病/外科学 喉返神经/损伤 随机对照试验 |
| 收稿时间： | 2011/6/8 0:00:00 |
| 修稿时间： | 2011/10/8 0:00:00 |
Efficacy of recurrent laryngeal nerve exposure in thyroid surgery |
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| CHEN Jisong| ZHANG Xianlin| GONG Xuedong| KE Shaobo| HUANG Caiping.Efficacy of recurrent laryngeal nerve exposure in thyroid surgery[J].Chinese Journal of General Surgery,2011,20(11):1161-1163. |
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| Authors: | CHEN Jisong| ZHANG Xianlin| GONG Xuedong| KE Shaobo| HUANG Caiping |
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| Institution: | CHEN Jisong1,ZHANG Xianlin1,GONG Xuedong1,KE Shaobo1,HUANG Caiping2(1.Department of General Surgery,Affiliated Renhe Hospital,Three Gorges University,Yichang,Hubei 443001,China,2.Department of Head and Neck Surgery,Affiliated Cancer Hospital,Fudan University,Shanghai 200032,China) |
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| Abstract: | Objective To investigate the efficacy of recurrent laryngeal nerve(RLN) exposure in preventing RLN injury during thyroid surgery.Methods Using a prospective,randomized,controlled design,373 patients scheduled to undergo thyroid surgery and met the inclusion criteria were randomly divided into observation group and control group.The patients of the observation group(173 cases) underwent thyroid surgery with RLN exposure,while the patients of the control group(200 cases) underwent thyroid surgery without RLN ... |
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| Keywords: | Thyroid Diseases/surg Recurrent Laryngeal Nerve/inj Randomized Controlled Trials |
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