中国现代手术学杂志2017，Vol.21Issue(3)：194-196,3.DOI:10.16260/j.cnki.1009-2188.2017.03.008
甲状腺腺叶切除术中喉返神经入喉处解剖暴露的临床效果研究
Clinical Effect on the Entrance Point Exposure of the Recurrent Laryngeal Nerve during Thyroid Lobectomy
唐巍 1张显岚 1曾繁余1
作者信息
- 1. 桂林医学院附属医院普外科,广西桂林 541000
- 折叠
摘要
Abstract
Objective To discuss the clinical effect of the entrance point exposure technique of the recurrent laryngeal nerve (RLN) during the thyroid lobectomy.Methods A total of 120 cases performed thyroid lobectomy in our hospital from December 2012 to May 2015 were retrospectively analyzed.According to the exposure technique of RLN,all cases were divided into two groups with 60 cases for each:The experimental group was carried out anatomical exposure of the entrance in throat of RLN,and the control group was exposed anatomically below the inferior thyroid artery.The operation time,intraoperative blood loss,postoperative complication rate,postoperative VAS score and satisfaction of patients was compared between two groups.Results The operation time and intraoperative blood loss was (80.3 ± 10.1)min and (34.5 ± 10.2) ml respectively in the experimental group,and (115.8 ± 12.3) min and (46.8 ± 11.5) ml respectively in the control group.There was statistical difference in operation time and intraoperative blood loss between two groups (P ＜0.05).The postoperative complication rate of experimental group was 3.3％,and was lower than 16.7％ of control group (P ＜ 0.05).The VAS score was (2.1 ± 1.0) of experimental group,and was better than (4.3 ±2.1) of control group (P ＜0.05).There was statistical difference in patient's satisfaction between the experimental group and control group (96.7％ VS 83.3％,P ＜ 0.05).Conclusion The anatomical exposure of the entrance in throat of RLN can play an important role to accelerate the surgical process and reduce the incidence of complications for thyroid lobectomy.关键词
甲状腺腺叶切除术/喉返神经/解剖暴露Key words
thyroid lobectomy/recurrent laryngeal nerve/anatomic exposure分类
医药卫生引用本文复制引用
唐巍,张显岚,曾繁余..甲状腺腺叶切除术中喉返神经入喉处解剖暴露的临床效果研究[J].中国现代手术学杂志,2017,21(3):194-196,3.
