摘要
目的:探讨降低喉返神经损伤的方法。方法:2005年9月～2007年1月共有375例甲状腺手术患者,对其喉返神经损伤进行分析。结果:375例病人中有5例喉返神经损伤,其中甲状腺腺瘤3例,桥本甲状腺炎1例,甲状腺癌1例,损伤后立即行喉镜检查示声带处于外展位。给予营养神经治疗,15d～3个月后完全恢复,喉镜检查示声带正常。结论:喉返神经损伤可以预防,关键是术者应熟悉喉返神经的解剖结构和变异,熟悉其与周围组织及血管的关系,要有手术区域的组织结构特别是喉返神经走行的"立体影像"。
Objective： To discuss the method of decreasing the risk of the injury on laryngeal nerve in the thyroid gland operation.Methods：We could get the ,conclusion from the analysis of the reason why the patients＇ recurrent laryngeal nerve get injured. In the analysis the 375 cases were picked among the patients undergone the thyroid gland operation from Sep. 2005 to Jan.2007. Results：Among the 375 cases There were 5 patients whose recurrent laryngeal nerve was injured, among which there are three thyroidectomies, one Hashimoto thyroiditis and one thyrocarcinoma. In all these five cases,the injuries were all on the site of abduction when they were observed seen through the laryngoscope. After fifteen days to three months＇ hormonal and neurotrophic treatment, the patients could recover completely and the vocal cord could also got over which could be examined through the laryngosoope. Conclusions：The majority of the recurrent laryngeal nerve＇s injuries can be avoided, it is important to know the nerves anatomical strueture and its variation well for the operators, the operators should firstly understand the visual field and the histiostructure of the operation region especially of the recurrent laryngeal nerve.
出处
《中国医药导报》
CAS
2007年第08S期106-106,108,共2页
China Medical Herald
关键词
甲状腺手术
喉返神经损伤
Operation of the thyroid gland
Injury of the recurrent laryngeal nerve
