摘要
目的对比精确甲状腺腺叶切除术与甲状腺次全切除术喉返神经损伤发生率,探讨精确甲状腺腺叶切除术的安全性。方法回顾性分析2010年1月—2011年6月所行249例438侧精确甲状腺腺叶切除术和甲状腺次全切除术的临床资料。结果全组共出现6例单侧喉返神经一过性损伤,精确甲状腺腺叶切除术与甲状腺次全切除术喉返神经伤发生率分别为1.38%(3/216侧)和1.35%(3/222侧),两者比较无统计学意义(P>0.05)。无双侧喉返神经损伤和永久性喉返神经损伤。结论技术改进后的精确甲状腺腺叶切除术,与甲状腺次全切除术相比,在避免喉返神经损伤方面,具有同等的安全性。
Objective To compare the incidence of recurrent laryngeal nerve （ RLN ） injury of precise thyroid lobectomy and subtotal thyroidectomy, and to assess the safety of precise thyroid lobectomy. Methods The clinical data of 249 patients with 438 affected thyroid sides undergoing precise thyroid lobectomy or subtotal thyroidectomy from January 2010 to June 2011 were retrospectively analyzed. Results Six cases of the whole group of patients had transient unilateral RLN palsy. The incidence of RLN injmy of precise thyroid lobectomy and subtotal thyroidectomy was 1. 38% （3/216 affected sides） and 1. 35% （3/222 afttcted sides） , respectively, and there was no statistical difference between the two procedures （ P 〉 0. 05 ）. No bilateral or permanent RLN injury occurred in any of the patients. Conclusions Precise thyroid lobectomy after improvements in technique, is as safe as subtotal thyroidectomy in terms of avoiding RLN injury.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2011年第11期1157-1160,共4页
China Journal of General Surgery
