|
|||||
|
|
| 甲状腺再次手术中解剖显露喉返神经的临床意义 | |
| 引用本文： | 李力鹏,赵华,李小军.甲状腺再次手术中解剖显露喉返神经的临床意义[J].陕西医学杂志,2012,41(2):174-176. |
| 作者姓名： | 李力鹏 赵华 李小军 |
| 作者单位： | 1. 陕西省渭南市第二医院肿瘤外科 渭南714000 2. 陕西省渭南市第二医院肿瘤外科 渭南714000 ;陕西省肿瘤医院头颈外科 3. 陕西省渭南市第二医院肿瘤外科 渭南714000 ;陕西省人民医院普外科 |
| 摘 要： | 目的:探讨在甲状腺再次手术中解剖显露喉返神经与神经损伤的关系。方法:对232例甲状腺再次手术患者分两组,未解剖显露组110例,其中甲状腺癌76例,良性甲状腺疾病54例;解剖显露组102例,其中甲状腺癌70例,良性甲状腺疾病32例。结果:在甲状腺癌中未解剖组喉返神经损伤16例,损伤率为21.1%;解剖组喉返神经损伤2例,损伤率为2.9%;两者之间差异有统计学意义(P<0.05)。在良性甲状腺病中,未解剖组喉返神经损伤6例,损伤率为11.1%;解剖组喉返神经损伤0例,损伤率为0;两者之间差异有统计学意义(P<0.05)。结论:甲状腺再次手术中显露喉返神经可以降低喉返神经损伤的发生率。 |
| 关 键 词： | 甲状腺肿瘤 甲状腺切除术 再手术 喉返神经 |
The contribution of exploring recurrent laryngeal nerve in thyroid gland reoperation |
|
| Li Lipeng,Zhao Hua,Li Xiaojun.The contribution of exploring recurrent laryngeal nerve in thyroid gland reoperation[J].Shaanxi Medical Journal,2012,41(2):174-176. | |
| Authors: | Li Lipeng Zhao Hua Li Xiaojun |
| Institution: | Department of General Surgery,The Second Hospital of Weinan City(Weinan 714000) Li Lipeng Zhao Hua Li Xiaojun |
| Abstract: | Objective:To analyze the relationship between exploring recurrent laryngeal nerve(RNL) and nerve injury in reoperation of thyroid gland.Methods:In this retrospectively reviewed,232 cases of thyroid reoperation were randomly divided into groups: RLN was not exposed in 110 cases(thyroid carcinoma 76,innocence tumor 54) and exposed for monitoring in 102 cases(thyroid carcinoma 70,innocence tumor 32).Results:To thyroid carcinoma,16 cases(21.1%) suffered from RLN injury in no exposed group and 2 cases(2.9%) suffer from RLN injury in exposed group(P<0.05).To innocence thyroid tumor 6 cases(11.1%) suffered from RLN injury in no exposed group and 0 cases suffer from RLN injury in exposed group(P<0.05).The difference had statistical significance.Conclusion:Exploring RLN can lower nerve injury in thyroid reoperation,especially to thyroid cancer. |
| Keywords: | Thyroid neoplasms Thyroidectomy Reoperation Recurrent laryngeal nerve |
| 本文献已被 CNKI 万方数据 等数据库收录！ | |