摘要
目的分析并评价显露喉返神经在甲状腺手术中防止神经损伤的意义。方法将我院从2005年5月至2011年10月期间收治的甲状腺疾病病人856例分成观察组（显露喉返神经）与对照组（未显露喉返神经），并对比分析两组术后喉返神经损伤状况。结果术后两组均未见双侧喉返神经损伤发生。全部患者的喉返神经损伤率为2．10％（18／856）．观察组喉返神经损伤率为1．31％（6／459），对照组喉返神经损伤率为3．02％（12／397）。观察组喉返神经损伤率低于对照组，两组比较差异显著（X2=5．81．P〈0．05），具有统计学意义。8个月后观察组6例喉返神经损伤病人声带活动全部恢复至正常；对照组5例恢复至正常，7例为永久性损伤。观察组在术后8个月时喉返神经损伤病人恢复程度优于对照组，两组比较差异显著（X2=15．02，P〈0．001），具有统计学意义。结论术中喉返神经显露可以有效降低术中喉返神经的损伤率，该方法安全可靠且效果理想，值得临床广泛推广。
Objective To analyze and evaluate the significance of exposure of recurrent laryngeal nerve during thyroid operation in avoiding nerve injury. Methods 856 patients with thyroid diseases in our hospital from May 2005 to October 2011 were divided into the observation group （exposure of recurrent laryngeal nerve） and the control group （without exposure of recurrent laryngeal nerve）. The postoperative recurrent laryngeal nerve injury situation in two group were analyzed and compared. Results Postoperative outcome in the two groups showed no bilateral recurrent laryngeal nerve injury in all patients. The recurrent laryngeal nerve injury rate was 2.10% （18/856）, with 1.31% （6/459） of the observation group and 3.02% （12/397） of the control group. The incidence of recurrent laryngeal nerve injury in the observation group was lower than that in the control group with significant difference （~2 = 5.81, P 〈0.05）. After 6 months, 6 cases of recurrent laryngeal nerve injury in the observation group were recovered with all vocal cords return to normal; 5 cases in the control group were recovered with other 7 cases of permanent injury. The recovery degree of recurrent laryngeal nerve injury 8 months after the operation in the observation group was better than that in the control group with significant difference （X2 = 15.02, P 〈0.001）. Conclusions The exposure of recurrent laryngeal nerve can effectively reduce intraoperative recurrent laryngeal nerve injury rate with safety, reliability and satisfactory results, which is worthy of clinical application.
出处
《临床医学工程》
2012年第8期1318-1319,共2页
Clinical Medicine & Engineering
关键词
喉返神经显露
甲状腺手术
神经损伤
Exposure of recurrent laryngeal nerve
Thyroid operation
Nerve injury
