摘要
目的探究显露喉返神经技术对困难甲状腺手术患者的应用价值。方法按照术中是否显露喉返神经将2014年12月~2016年10月诊治的124例困难甲状腺手术患者分为显露组(73例)和非显露组(51例),比较两组患者手术时间、术中出血量、术后引流量和引流时间等手术一般情况及是否产生术后喉返神经损伤。结果显露组手术时间长于非显露组(P<0.001),两组患者术中出血量、术后引流量以及术后引流时间比较差异无统计学意义(P>0.05);显露组喉返神经损伤发生率为2.74%(2/73),低于非显露组的17.65%(9/51),比较差异有统计学意义(P<0.05)。结论显露喉返神经技术可明显减少困难甲状腺手术患者喉返神经损伤,值得推广。
Objective To investigate the application value of the exposure of recurrent laryngeal nerve in124patients with difficult thyroid surgery.Methods According to intraoperative exposure of recurrent laryngeal nerve,124cases of difficult thyroid surgery from December,2014to October,2016were divided into exposed group(73cases)and non exposed group(51cases).General situation of operation like surgery time,peroperative bleeding,postoperative drainage,drainage time and postoperative recurrent laryngeal nerve injury of the two groups were compared.Results Surgery time of the exposed group was significantly longer than that of the non exposed group(P<0.001),the difference of peroperative bleeding,postoperative drainage and drainage time between the two groups was not statistically significant(P>0.05).Occurrence rate of recurrent laryngeal nerve injury in the exposed group was2.74%(2/73),significantly lower than that(17.65%,9/51)in the non exposed group,difference was statistically significant(P<0.05).Conclusion Exposure of recurrent laryngeal nerve can significantly lower recurrent laryngeal nerve injury in patients with difficult thyroid surgery,which it is worthy of wide application.
作者
靳林上
张波涛
JIN Linshang;ZHANG Botao(Department of General Surgery One,Central Hospital of Jiaozuo Coal IndustryCo.,Ltd,Jiaozuo 454000,China)
出处
《右江医学》
2017年第6期700-702,共3页
Chinese Youjiang Medical Journal
关键词
甲状腺手术
喉返神经
显露
损伤
thyroid surgery
recurrent laryngeal nerve
exposure
injury
