中国普通外科杂志2011，Vol.20Issue(11)：1161-1163,3.
喉返神经显露技术在甲状腺手术中的应用
Efficacy of recurrent laryngeal nerve exposure in thyroid surgery
陈季松 1张先林 1龚学东 1柯少波 1黄彩平2
作者信息
- 1. 三峡大学附属仁和医院普通外科,湖北宜昌443001
- 2. 复旦大学附属肿瘤医院头颈外科,上海200032
- 折叠
摘要
Abstract
Objective To investigate the efficacy of recurrent laryngeal nerve ( RLN ) exposure in preventing RLN injury during thyroid surgery. Methods Using a prospective, randomized, controlled design, 373 patients scheduled to undergo thyroid surgery and met the inclusion criteria were randomly divided into observation group and control group. The patients of the observation group (173 cases) underwent thyroid surgery with RLN exposure, while the patients of the control group (200 cases ) underwent thyroid surgery without RLN exposure. The RLN injury rate and outcome of the two groups were compared. Results A total of 198 RLNs were exposed in observation group with the RLN injury rate of 0. 5% ( 1/198 ) , and the nerve injury recovered within 6 months. The RLN injury rate of the control group was 6. 0% ( 12/200 ) . Of the patients with RLN injury, 4 cases partially recovered within 6 months and 8 cases were permanent injury. There were significant differences of RLN injury between the two groups ( P ＜ 0. 05 ). Conclusions The routine exposure of RLN pathway during thyroid surgery can effectively reduce the incidence of RLN injury.关键词
甲状腺疾病/外科学/喉返神经/损伤/随机对照试验Key words
Thyroid Diseases/surg/ Recurrent Laryngeal Nerve/inj/ Randomized Controlled Trials分类
医药卫生引用本文复制引用
陈季松,张先林,龚学东,柯少波,黄彩平..喉返神经显露技术在甲状腺手术中的应用[J].中国普通外科杂志,2011,20(11):1161-1163,3.
