喉返神经解剖在甲状腺手术中的应用

目的 探讨喉返神经解剖在甲状腺手术中的应用.方法 回顾性分析我院2008年6月至2013年7月共193例（解剖组106例与对照组87例）甲状腺腺手术中发生喉返神经（recurent laryngeal nerve,RLN）损伤的临床资料.结果 解剖组一侧手术时间52 ～ 96 min,平均65.3 min.对照组一侧手术时间45～68 min,平均52.6 min;解剖组RLN损伤共2例,发生率1.98％（2/106）,无永久喉返神经损伤病例.对照组喉返神经损伤发生率为6.90％（6/87）,永久性损伤2例（2.30％）.结论 甲状腺切除术中RLN解剖是减少RLN损伤发生和避免永久损伤的有效方法.

The application of anatomization of recurrent laryngeal nerve in thyroidectomy

Objective To investigate the application of anatomization of recurrent laryngeal nerve （RLN） in thyroidectomy. Method Retrospectively analyzed RLN injury in 193 cases of thyroid gland surgery （106 cases in anatomical group, 87 cases in control group） from June 2008 to July 2013. Results The operation time on one side in anatomical group was 52-96 min, an average of 65.3 min; that in control group was 45- 68 min, an average of 52.6 rain. There were 2 cases of RLN injury in anatomical group, accounting for 1.98% （2/106）, without permanent recurrent laryngeal nerve injury. The incidence of recurrent laryngeal nerve injury in control group was 6.90% （6/87）, with 2 cases （2.30%） of permanent injury. Conclusion Anatomization of recurrent laryngeal nerve is a effective method to reduce RLN injury and prevent permanent RLN injury in thyroidectomy.