| 甲状腺手术中常规解剖喉返神经的临床意义 |
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| 引用本文： | 叶刚,李远平. 甲状腺手术中常规解剖喉返神经的临床意义[J]. 临床耳鼻咽喉头颈外科杂志, 2010, 24(7) |
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| 作者姓名： | 叶刚 李远平 |
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| 作者单位： | 1. 乐山市人民医院耳鼻咽喉科,四川乐山,614000
2. 乐山市人民医院心胸外科 |
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| 摘 要： | 目的:探讨甲状腺手术中常规解剖喉返神经的方法,以避免喉返神经的损伤。方法:247例患者全部以气管食管沟或者甲状软骨下角为解剖标志显露喉返神经,于喉返神经前面沿着其走向向上解剖显露至甲状软骨下角环甲膜入喉处,或向下解剖显露至甲状腺下极下动静脉处,不必刻意寻找喉返神经的分支,共解剖喉返神经258条。结果:全部患者喉返神经损伤2条,损伤率为0.8%,均为喉返神经不全性损伤,1个月左右恢复正常,与前期不进行常规解剖喉返神经276例比较,二者之间差异有统计学意义(P<0.05)。结论:常规解剖喉返神经进行甲状腺手术的方法可以有效降低喉返神经的损伤率。
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| 关 键 词： | 甲状腺切除术 甲状腺疾病 喉返神经 损伤 |
Clinical significance of recurrent laryngeal nerve of hormal anatomy in thyroid surgery |
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| YE Gang,LI Yuanping. Clinical significance of recurrent laryngeal nerve of hormal anatomy in thyroid surgery[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2010, 24(7) |
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| Authors: | YE Gang LI Yuanping |
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| Abstract: | Objective:To discuss the method of recurrent laryngeal nerve anatomy of thyroid surgery, for avoiding recurrent laryngeal nerve injury.Mothod:Recurrent laryngeal nerve of all 247 cases were found along tracheo-esophageal groove or angle of thyroid cartilage, in front of the recurrent laryngeal nerve showed up next to the thyroid cartilage angle and cricothyroid membrane, or down to thyroid anatomy revealed under the lower pole artery and vein, and not have to deliberately look for a branch of the recurrent ... |
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| Keywords: | thyroidectomy thyroid disease recurrent laryngeal nerve injury |
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