甲状腺手术中喉返神经损伤的相关因素分析

目的 探讨甲状腺手术中喉返神经损伤的原因以及预防措施.方法 回顾性分析876例甲状腺手术患者的临床资料,从多个角度对喉返神经损伤情况进行对比分析.结果 甲状腺手术中喉返神经损伤与手术方式有明显相关性（r=0.763,P＜0.05）,右侧甲状腺病变术中喉返神经损伤发生率明显高于左侧（P＜0.05）,术中显露喉返神经者喉返神经损伤发生率明显低于未显露者（x2=5.34,P＜0.05）.结论 术前对甲状腺病变进行准确诊断,术中选择合理的手术方式并尽可能显露喉返神经,对预防甲状腺手术喉返神经损伤具有重要意义.

The relative factors of recurrent laryngeal nerve palsy induced by thyroid operations

Objective To investigate the risk factors and the preventive measures of recurrent laryngeal nerve(RLN)palsy induced by thyroid tumor operations.Methods The clinical data of 876 patients with thyroid operation were analyzed retrospectively,and the condition of RLN palsy induced from different angles was compared and analyzed.ResultS There was clear association between RLN palsy induced and the way of operation(r=0.763,P＜0.05),the incidence rate of risht RLN palsy induced was higher than the left(P＜0.05),the incidence rate of RLN palsy induced of the RLN discovered was less than the RLN undiscovered(x2=5.34,P＜0.05).Conclusion Accurate diagnosis,rational way of operation and the RLN discovered possibile had significance in prevention of RLN palsy induced.