中国中西医结合外科杂志2012，Vol.18Issue(2)：127-130,4.DOI:10.3969/j.issn.1007-6948.2012.02.008
甲状腺手术喉返神经与甲状旁腺的识别与保护183例分析
Analysis of 183 Cases on Skills to Identify and Protect Recurrent Laryngeal Nerve and Parathyroid Gland in Thyroid Surgery
杜晓斌 1田伟军 1杨志强1
作者信息
- 1. 天津医科大学总医院普外科,天津300052
- 折叠
摘要
Abstract
Objective To discuss the technical improvement of identification and protection ol the reeur-reni laryngcaj nerve and parathyroid glands in thyroid surgeries and clinical effecis. Method A rcirospeetivc analysis was conducled on 183 palienls who have undergone thyroid surgery of them. SI cases during which I he recurreni laryngeal nerve was exposed under ihe inferior ihyroid artery were grouped as ihe control group, 102 cases found ihe way lo expose recurreni laryngeal nerve ihrough Zukerkandl tubercle as ihe treatment group. The occurrence of postoperative complications as recurrent laryngeal nerve injury and hypoparathyroidism in both groups we are observed. Results All 102 patients in the treatment group were clinically cured,One patient(0.9%) was complicated by temporary hoaseness after surgery. Temporarily liypoparathyroidism happened in 2(1.9%) patientes who had subtotal thyroidectomy rum calcium. Three(3.7%) out of 8 1 cases in the control group had an injury of recurrent laryngeal nerve, and 2 (2.4%) had hypoparathyroidism. The difference was statistically significant. Conclusion The improvements ofthyroid glands,were able to minimi ze intraoperati ve bleed ing,thus reduceing postoperative complications and promoting recovery.关键词
甲状腺/手术技巧/并发症/喉返神经/甲状旁腺Key words
Thyroid gland/,Surgery skills/Complication/Recurrent laryngeal nerve/Parathyroid gland分类
医药卫生引用本文复制引用
杜晓斌,田伟军,杨志强..甲状腺手术喉返神经与甲状旁腺的识别与保护183例分析[J].中国中西医结合外科杂志,2012,18(2):127-130,4.
