| 腔镜甲状腺手术中喉返神经损伤预防 |
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| 引用本文： | 李进义,王存川,潘运龙,陈鋆,胡友主,许朋.腔镜甲状腺手术中喉返神经损伤预防[J].中国实用外科杂志,2007,27(9):711-712. |
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| 作者姓名： | 李进义 王存川 潘运龙 陈鋆 胡友主 许朋 |
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| 作者单位： | 暨南大学附属第一医院外科,广东广州,510630 |
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| 摘 要： | 目的探讨腔镜甲状腺切除术中预防喉返神经损伤的方法。方法对2002年3月至2006年10月暨南大学附属第一医院采用胸乳入路施行腔镜甲状腺腺叶切除术的492例临床资料,及术中采用躲避喉返神经或解剖喉返神经技术进行分析。结果2例出现暂时性喉返神经损伤,无永久性喉返神经损伤。结论熟悉与甲状腺手术相关的解剖知识,掌握腔镜下组织结构清楚暴露和避免神经热损伤的手术技巧是预防喉返神经损伤的关键。
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| 关 键 词： | 甲状腺切除术 腹腔镜 喉返神经 |
| 文章编号： | 1005-2208（2007）09-0711-02 |
| 修稿时间： | 2007-03-15 |
Prevention of recurrent laryngeal nerve injury at endoscopic thyroidectomy |
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| LI Jin-yi, WANG Cun-chuan, PAN Yun-long ,et al..Prevention of recurrent laryngeal nerve injury at endoscopic thyroidectomy[J].Chinese Journal of Practical Surgery,2007,27(9):711-712. |
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| Authors: | LI Jin-yi WANG Cun-chuan PAN Yun-long |
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| Institution: | Dept. of Surgery ,the First Affiliated Hospital of Jinan University, Guangzhou 510630, China |
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| Abstract: | Objective To discuss the methods of the prevention of recurrent laryngeal nerve injury at endoscopic thyroidectomy via chest and breast approach.Methods From Mar.2002 to Oct.2006,Endoscopic thyroidectomy via chest and breast approach was performed in 492 patients.While operation,we adopt the techniques to dodge or dissect recurrent laryngeal nerve.Results Two patients had the temporary hoarse voice and restored after three months postoperatively.No patient had the eonian hoarse voice postoperatively.Conclusion The key of the prevention of recurrent laryngeal nerve injury is to palmar grasp the anatomy knowledge about thyroidectomy and to keep the clear exposure of operation field, avoid the heat injury to nerve. |
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| Keywords: | thyroidectomy endoscopy recurrent laryngeal nerve |
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