128例甲状腺癌手术中喉返神经保护的临床分析

目的探讨甲状腺癌手术中显露喉返神经的必要性及喉返神经损伤的预防和处理。方法回顾蚌埠医学院第一、二附属医院肿瘤外科自2007年1月-2010年11月期间128例甲状腺癌临床病例资料,以术中是否解剖显露喉返神经分为常规显露组和不显露组,和以初次手术和再次手术分组,χ2检验分别比较分析两组间喉返神经损伤的发生率。结果常规显露组RLN永久性损伤1例,损伤率1.11%（1/90）;不显露组损伤3例,损伤率7.89%（3/38）,都是暂时性损伤。初次手术RLN损伤2例,损伤率1.87%（2/107）;再次手术损伤2例,损伤率9.52%（2/21）。常规显露组与不显露组、初次手术与再次手术的RLN损伤差异均有统计学意义（P〈0.05）。结论甲状腺癌手术中熟悉喉返神经的正常解剖和变异,常规显露喉返神经,可以有效预防和减少其损伤。

Clinical Analysis of Recurrent Laryngeal Nerve Protect in 128 Cases of Thyroid Carcinoma Surgery

Objective To investigate the necessity to expose the recurrent laryngeal nerve,and the prevention and treatment of recurrent laryngeal nerve injury in thyroid carcinoma surgery.Methods The clinical data of 128 cases of thyroid carcinoma in the first and second affiliated hospital of Bengbu medical college from January 2007 to November 2010 were analyzed retrospectively,they were divided into two groups according to whether or not the recurrent laryngeal nerve was dissected and exposed during the operation,a...