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甲状腺再次手术中解剖显露喉返神经的临床意义

李力鹏 赵华 李小军

陕西医学杂志2012,Vol.41Issue(2):174-176,3.
陕西医学杂志2012,Vol.41Issue(2):174-176,3.

甲状腺再次手术中解剖显露喉返神经的临床意义

The contribution of exploring recurrent laryngeal nerve in thyroid gland reoperation

李力鹏 1赵华 2李小军3

作者信息

  • 1. 陕西省渭南市第二医院肿瘤外科 渭南714000
  • 2. 陕西省渭南市第二医院肿瘤外科 渭南714000
  • 3. 陕西省肿瘤医院头颈外科
  • 折叠

摘要

Abstract

Objective:To analyze the relationship between exploring recurrent laryngeal nerve (RNL) and nerve injury in reoperation of thyroid gland. Methods:In this retrospectively reviewed, 232 cases of thyroid reopera-tion were randomly divided into groups: RLN was not exposed in 110 cases (thyroid carcinoma 76,innocence tumor 54) and exposed for monitoring in 102 cases (thyroid carcinoma 70,innocence tumor 32). ResultS;To thyroid carcinoma, 16 cases (21. 1%) suffered from RLN injury in no exposed group and 2 cases (2. 9%) suffer from RLN injury in exposed group (P<0. 05). To innocence thyroid tumor 6 cases (11. 1%) suffered from RLN injury in no exposed group and 0 cases suffer from RLN injury in exposed group (P<0. 05). The difference had statistical significance. Conclusion:Exploring RLN can lower nerve injury in thyroid reoperation, especially to thyroid cancer.

关键词

甲状腺肿瘤/甲状腺切除术/再手术/喉返神经

Key words

Thyroid neoplasms Thyroidectomy Reoperation Recurrent laryngeal nerve

分类

医药卫生

引用本文复制引用

李力鹏,赵华,李小军..甲状腺再次手术中解剖显露喉返神经的临床意义[J].陕西医学杂志,2012,41(2):174-176,3.

陕西医学杂志

OACSTPCD

1000-7377

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