中国医学创新2019，Vol.16Issue(2)：21-24,4.DOI:10.3969/j.issn.1674-4985.2019.02.006
显露喉返神经和甲状旁腺下甲状腺癌根治术临床研究
Clinical Study of Radical Thyroidectomy Through Exposing the Recurrent Laryngeal Nerve and Parathyroid Glands
摘要
Abstract
Objective:To investigate the value of exposing recurrent laryngeal nerve and parathyroid glands in radical thyroidectomy.Method:The clinical data of 182 patients with thyroid cancer undergoing radical thyroidectomy from January 2015 to June 2018 were retrospectively analyzed.According to whether the recurrent laryngeal nerve and parathyroid gland were exposed or not, they were divided into exposed group (n=117) and non-exposed group (n=65), according to the different ways of exposure of recurrent laryngeal nerve, the exposed group were divided into upper approach subgroup (n=17), lower approach subgroup (n=22) and lateral approach subgroup (n=78).The operation related indexes (operation time, intraoperative bleeding volume, postoperative drainage volume) and complications (recurrent laryngeal nerve injury, hypocalcemia) were compared between exposed group and non-exposed group, and the incidence of complications among different subgroups of exposed group was compared.Result:The operation time, intraoperative bleeding volume, postoperative drainage volume in exposed group and non-exposed group were compared, the differences were not statistically significant (P＞0.05).The incidence of recurrent laryngeal nerve injury and hypocalcemia in exposed group were lower than those of nonexposed group (P＜0.05).However, the incidence of recurrent laryngeal nerve injury and hypocalcemia amongdifferent subgroups of exposure group were compared, the differences were not statistically significant (P＞0.05).Conclusion:Radical thyroidectomy with exposure of recurrent laryngeal nerve and parathyroid carcinoma can effectively reduce the risk of recurrent laryngeal nerve and parathyroid gland injury.Exposure of recurrent laryngeal nerve by different approaches can effectively protect the recurrent laryngeal nerve, which can be reasonably selected according to the operation conditions and the experience of the surgeon.关键词
甲状腺癌/喉返神经/甲状旁腺Key words
Thyroid carcinoma/Recurrent laryngeal nerve/Parathyroid gland引用本文复制引用
魏德强,赵丰,林伟奇,郑毅锋..显露喉返神经和甲状旁腺下甲状腺癌根治术临床研究[J].中国医学创新,2019,16(2):21-24,4.基金项目
福建省自然科学基金项目(2013J01351) （2013J01351）
