| RLN显露在甲状腺全切除术中的意义 |
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| 引用本文： | 吴维敏,尹俊峰,余书勇,肖宁,周振环,涂瑞纱.RLN显露在甲状腺全切除术中的意义[J].内分泌外科杂志,2010,4(2):105-106. |
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| 作者姓名： | 吴维敏 尹俊峰 余书勇 肖宁 周振环 涂瑞纱 |
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| 作者单位： | 1. 海南省海口市解放军187中心医院普外科,海口,571159
2. 海南省海口市海南军区医院特诊科,海口,570260 |
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| 摘 要： | 目的探讨喉返神经（RLN）显露在甲状腺全切除术中的意义。方法回顾分析2006年12月至2008年12月间116例主动显露201侧RLN的甲状腺全切除术资料。结果116例甲状腺疾病均行甲状腺全切除术。术中均成功显露双侧或单侧RLN，其中1例右侧非返RLN。RLN永久性损伤0例，暂时性损伤0例，永久损伤率为0。结论甲状腺全切除术中应常规在甲状腺下动脉周围寻找RLN，主动显露RLN可避免其损伤发生，并可提高甲状腺癌手术的彻底性。
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| 关 键 词： | 甲状腺全切除术 喉返神经 |
The significance of recurrent laryngeal nerve exposure in total thyroidectomy |
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| Authors: | WU Wei-min YIN Jun- feng YU Shu-yong XIAO Ning ZHOU Zhen-huan TU Rui-sha |
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| Affiliation: | . Department of General Surgery, the 187th Hospital of PIA, Haikou 571159, China |
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| Abstract: | Objective To investigate the significance and the effect of exposing recurrent laryngeal nerve(RLN)in total thyroidectomy.Methods A total of 201 laryngeal nerves were exposed in 116 cases total thyroidectomy from December 2006 to December 2008.The patients'data were analyzed retrospectively.Results Unilateral or bilateral RLN were exposed successfully during operation,including one case of right non recuurent RLN.No Permanent or temporary RLN injury occured.RLN injury rate was 0.Conclusions During total thyroidectomy for thyroid diseases,RLNs should be dissected routinely around the inferior thyroid artery.The exposure of RLN can avoid the morbidity of the nerve injury. |
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| Keywords: | Total thyroidectomy Recurrent laryngeal nerve |
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