喉返神经损伤在甲状腺切除术中的预防
The Precaution of Recurrent Laryngeal Nerve Dissection in Thyroid Surgery
DOI: 10.12677/ACRS.2018.71001, PDF,   
作者: 李武盛, 谢东林*：广东省普宁市里湖镇中心卫生院，广东 普宁
关键词: 甲状腺；喉返神经；损伤；预防；Thyroid； Recurrent Laryngeal Nerve； Injury； Prevention
摘要: 目的：探讨喉返神经的行走方式，了解甲状腺术中喉返神经损伤的原因及预防方法。方法：67例甲状腺肿瘤患者都行甲状腺手术治疗，共解剖了75侧的喉返神经，其中双侧次全或全切的8例。结果：出现暂时性声嘶3例，其余发音全部正常。结论：熟悉喉返神经的解剖及其变异，术中精细解剖、显露喉返神经是预防喉返神经损伤的有效途径。
Abstract: Objective: To explore the causes and prevention methods of recurrent laryngeal nerve injury in thyroid surgery. Methods: A total of 67 patients with thyroid neoplasms were dissected by 75 lateral recurrent laryngeal nerve, and underwent thyroidectomy, with 8 cases of bilateral subtotally or total thyroidectomy. Results: There are 3 cases of temporary hiss, and all the other sounds were normal. Conclusion: It is an effective way to prevent recurrent laryngeal nerve injury by analyzing the anatomy and variation of recurrent laryngeal nerve.
文章引用：李武盛, 谢东林. 喉返神经损伤在甲状腺切除术中的预防[J]. 亚洲外科手术病例研究, 2018, 7(1): 1-4. https://doi.org/10.12677/ACRS.2018.71001

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