武警医学Issue(1)：16-18,3.
甲状腺手术暴露与非暴露术式对喉返神经的保护作用比较
Exposing recurrent laryngeal nerve during thyroidectomy to reduce incidence of injury(a perspective cohort study)
摘要
Abstract
Objective To determine the protective effect of exposing the recurrent laryngeal nerve ( RLN) during thyroidecto-my.Metholds This is a perspective cohort study .The patients, admitted between January 2007 and December 2010, were divided into two groups according to whether exposed the RLN .The main end point was the incidence of RLN injury within 6 months. Results 327 patients were included in this study , with the follow-up more than 6 months in 307 patients.The incidence of RLN injury was 3.2%.The incidence of RLN injury in exposing and non-exposing groups was 3.0%(temporary 2.42%, permanent 0.61%) and 3.5%( temporary 2.82%, permanent 0.70%), respectively.There was no significant difference between these two groups . Conclusions RLN exposure leads no increase in the incidence of RLN injury .Exposure of the RLN should be routinely done in the era of lobectomy.关键词
甲状腺切除术/喉返神经/神经损伤/队列研究Key words
thyroidectomy/recurrent laryngeal nerve/nerve injury/cohort study分类
医药卫生引用本文复制引用
王军,李玉锋,孙松,路旭..甲状腺手术暴露与非暴露术式对喉返神经的保护作用比较[J].武警医学,2015,(1):16-18,3.
