摘要
本文介绍以甲状软骨下角为标志,非常规暴露喉返神经甲状腺切除方法,并应用于215例276次甲状腺病例,除8例因行颈淋巴清扫而暴露喉返神经外,97%手术中无需暴露喉返神经。除1例术后出现轻度甲状腺功能不足外,未发生与本手术方法有关的任何并发症。本文探讨甲状软骨下角、喉返神经、侧韧带三者之间的关系,以及喉返神经浅层解剖结构,从而确立本手术方法的理论依据。本文所测数据亦证实紧靠甲状腺体切断侧韧带极为安全,而无需常规暴露喉返神经。
This paper presents the use of the inferior cornu of thyroid cartilage as a landmark in thyroidectomy without routine exposure of the recurrent laryngeal nerve and its application to 276 procedures in 215 patients with thyroid disease. Ninety seven per cent of all procedures did not require to expose the recurrent laryngeal nerves, except 8 patients because of radical resection of carcinoma of thyroid. There were no any complication after this procedure, but 1 case appeared mild hy poparat hy roidism.This article investigated the relations of the inferior cornu thyroid cartilage,the recurrent laryngeal nerve and lateral ligamant, and the superficial structure of the recurrent laryngeal nerve in order to establish the theoretical basis of the procedure. Data obtained proved that cutting of the lateral ligament adjecent to thyroid is very safe and it is not necessary to expose the recurrent Iarvngeal nerve routinely.
出处
《安徽医科大学学报》
CAS
1990年第2期124-127,共4页
Acta Universitatis Medicinalis Anhui
关键词
甲状腺
喉返神经
甲状软骨
切除
thyroid cartilage/surg
ligament/surg
laryngeal nerve
surgery, operative
