中国医学创新2023，Vol.20Issue(34)：128-131,4.DOI:10.3969/j.issn.1674-4985.2023.34.028
3D腔镜甲状腺癌根治术中喉上神经外支保护对患者呛咳及声音的影响
Effect of External Branch of Superior Laryngeal Nerve Protection for Choking Cough and Sound of Patients with 3D Endoscopic Radical Thyroidectomy for Thyroid Cancer
摘要
Abstract
Objective:To investigate the anatomical observation and functional protection effect of external branch of superior laryngeal nerve(EBSLN)during 3D endoscopic radical thyroidectomy for thyroid cancer.Method:A total of 100 patients with 3D endoscopic radical thyroidectomy for thyroid cancer admitted to Mudanjiang Tumor Hospital from January 2021 to December 2022 were divided into control group 50 cases(81 sides)and observation group 50 cases(80 sides)by random number table method.Both groups underwent 3D endoscopic thyroidectomy for thyroid cancer,the control group was not treated with special anatomical protection for EBSLN,the observation group was treated with special anatomical protection for EBSLN.The proportion of EBSLN Cernea types and bilateral anatomical position of observation group were analyzed.The EBSLN injury rates,coughing in drinking water condition(water swallow test)and sound condition[voice handicap index(VHI)]of two groups were compared.Result:In the observation group,30 sides were with EBSLN Cernea type Ⅰ,the rate was 37.50%;36 cases were with type Ⅱa,the rates was 45.00%;12 cases were with type Ⅱb,the rates was 15.00%;2 cases were with type Ni,the rates was 2.50%;the average distance from the superior thyroid artery to the superior thyroid artery to enter the thyroid gland of external branch of the superior laryngeal nerve of left side and right side were compared,the difference was not statistically significant(P<0.05).The EBSLN injury rate in the observation group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).Before the operation,the result of water swallow test and VHI of two groups were compared,the differences were not statistically significant(P>0.05);after the operation,the result of water swallow test and VHI of observation group were significantly better than those of control group,the differences were statistically significant(P<0.05).Conclusion:The effect of anatomical observation and functional protection of EBSLN during 3D endoscopic radical thyroidectomy for thyroid cancer is better,and it is helpful to the control of EBSLN injury rate,the adverse effects for postoperative cough and sound status are relatively smaller.关键词
3D腔镜甲状腺癌根治术/喉上神经外支/解剖位置/功能保护Key words
3D endoscopic radical thyroidectomy for thyroid cancer/External branch of the superior laryngeal nerve/Anatomical position/Functional protection引用本文复制引用
金丽军,王爽,王宇航,巴图..3D腔镜甲状腺癌根治术中喉上神经外支保护对患者呛咳及声音的影响[J].中国医学创新,2023,20(34):128-131,4.基金项目
黑龙江省卫生健康委科研课题(2020-388) （2020-388）
