摘要
目的:了解非返性喉返神经临床解剖特点,总结甲状腺手术中预防其损伤的经验。方法:分析我院2006年至2012年1568例甲状腺术中发现的3例非返性喉返神经临床资料,结合文献讨论甲状腺手术中预防其损伤的有关问题。结果:本组3例经手术证实非返性喉返神经,1例为双侧,余2例均位于右侧;术中均未损伤非返性喉返神经。结论:甲状腺手术中如未能发现自气管食管沟内上行的喉返神经条索状结构,需警惕非返性喉返神经可能,宜解剖颈段喉返神经至入喉水平,避免损伤非返性喉返神经。
[ Objective] To comprehend the anatomical characteristics of the non return laryngeal recurrent nerve, and summarize the experiences of preventing its damage in thyroid surgery. [ Melhod] We analysised the clinical data of 3 patients with non re- turn laryngeal recurrent nerve found in 1568 cases of thyroid surgery in our hospital from 2006 to 2012,and discussed how to avoid the injury combined with literature review . [ Result] 3 cases with non return laryngeal recurrent nerve were confirmed in surgery including 1 case of bilateral and 2 cases on the fight side. There was no nerves injury. [ Conclusion]The possibility of non return laryngeal recurrent nerve should be empliasized if the cable structure of recurrent laryngeal nerve was not founded in thyroid surgery upstream in tracheoesophageal groove. It is necessary to dissect the recurrent laryngeal nerve to the level of throat to avoid the injury of it.
出处
《浙江医学教育》
2014年第1期59-60,63,共3页
Zhejiang Medical Education
关键词
非返性喉返神经
喉返神经
甲状腺
：non return laryngeal recurrent nerve
laryngeal recurrent nerve
thyroid
