中国普通外科杂志2011，Vol.20Issue(11)：1157-1160,4.
甲状腺两种切除术式喉返神经损伤的比较
Comparison of incidence of recurrent laryngeal nerve injury in two typies of thyroidectomy procedures
曾繁余 1张帆 2张显岚2
作者信息
- 1. 桂林医学院附属医院普外二科,广西桂林541001
- 2. 第三军医大学西南医院乳腺中心,重庆400038
- 折叠
摘要
Abstract
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 injury of precise thyroid lobectomy and subtotal thyroidectomy was 1. 38% (3/216 affected sides) and 1.35% (3/222 affected 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.关键词
关键词:甲状腺切除术/方法/精准切除/甲状腺腺叶切除术/甲状腺次全切除术/喉返神经/损伤Key words
Thyroidectomy /methods/ Precision Resection/ Thyroid Lobectomy/ Subtotal Thyroidectomy/ Recurrent Laryngeal Nerve/inj分类
医药卫生引用本文复制引用
曾繁余,张帆,张显岚..甲状腺两种切除术式喉返神经损伤的比较[J].中国普通外科杂志,2011,20(11):1157-1160,4.
