| 甲状腺手术喉返神经损伤原因分析 |
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| 引用本文： | 杜云峰,汤鲁霞,李正本,王文蕾. 甲状腺手术喉返神经损伤原因分析[J]. 中国煤炭工业医学杂志, 2004, 7(8): 705-706 |
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| 作者姓名： | 杜云峰 汤鲁霞 李正本 王文蕾 |
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| 作者单位： | 100028,北京市,煤炭总医院普外科 |
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| 摘 要： | 目的 研究甲状腺切除术的主要并发症—喉返神经 (RLN)损伤的因素。方法 回顾性研究 2 2 8例甲状腺手术患者的临床资料 ,主要分析RLN损伤与组织病理、术式、RLN在术中是否被分离保护的关系。结果 RLN损伤率为 5 .3 % ,其中永久性损伤率为0 .88% ,与组织病理程度明显有关 (P <0 .0 1 ) ,亦与术式有关 (P <0 .0 5) ,还与RLN在术中是否被分离保护有关 (P <0 .0 5)。结论 术中明确找到RLN并加以保护 ,将会降低RLN损伤率
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| 关 键 词： | 甲状腺切除术 喉返神经损伤 并发症 |
| 文章编号： | 1007-9564(2004)08-0705-02 |
| 修稿时间： | 2004-03-24 |
THYROIDECTOMY AND RECURRENT LARYNGEAL NERVE PARALYSIS:A REPORT OF 228 CASES |
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| Du Yunfeng,Tang Luxia,Li Zhengben,et al.. THYROIDECTOMY AND RECURRENT LARYNGEAL NERVE PARALYSIS:A REPORT OF 228 CASES[J]. Chinese Journal of Coal Industry Medicine, 2004, 7(8): 705-706 |
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| Authors: | Du Yunfeng Tang Luxia Li Zhengben et al. |
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| Affiliation: | Du Yunfeng,Tang Luxia,Li Zhengben,et al.Department of General Surgery,Coal Mining General Hospital,Beijing 100028,China |
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| Abstract: | Objective To study related factors of recurrent laryngeal nerve(RLN) paralysis,a major complication of thyroidectomy. Methods 228 patient's medical records were studied retrospectivly in Coal Mining General hospital in Beijing.The relationship between recurrent laryngeal nerve paralysis and histopathology,types of surgery and RLN identification were analyzed. Results The incidence of RLN paralysis was 5.3%, of which the permanent RLN paralysis was only 0.88%,significantly related to the histopathologic findings of malignancy(P<0.01),surgery types (P<0.05),the positive identification and protection of RLN during the operation(P<0.05). Conclusion The positive identification and RLN protection will reduce the RLN paralysis incidence during operation. |
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| Keywords: | thyroidectomy recurrent laryngeal nerve paralysis complication |
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