| 喉返神经解剖在甲状腺手术中的意义 |
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| 引用本文： | 黄益灯,郑宏良,夏思文,黄子喜,罗春娟,周水淼,李兆基.喉返神经解剖在甲状腺手术中的意义[J].中国耳鼻咽喉头颈外科,2005,12(12):745-747. |
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| 作者姓名： | 黄益灯 郑宏良 夏思文 黄子喜 罗春娟 周水淼 李兆基 |
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| 作者单位： | 1. 解放军第118医院耳鼻咽喉头颈外科,浙江,温州,325000
2. 第二军医大学长海医院耳鼻咽喉头颈外科,上海,200433 |
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| 摘 要： | 目的探讨甲状腺术中解剖喉返神经(recurrent laryngeal nerve,RLN)在预防神经损伤中的作用。方法回顾分析174例甲状腺肿瘤,84例术中常规解剖喉返神经,90例按传统方法对喉返神经行径区进行保护,未解剖喉返神经。结果解剖喉返神经组神经暂时性损伤1例,无永久性损伤病例,总损伤率为1.2%;未解剖喉返神经组暂时性损伤3例,永久性损伤3例,总损伤率为6.7%,经统计学处理(x2检验),差异有统计学意义(P<0.05)。结论甲状腺手术中解剖喉返神经能减少喉返神经的损伤,但术者需充分掌握神经行径的解剖特点,术中正确地辨认喉返神经。
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| 关 键 词： | 喉返神经 外科手术 声带麻痹 甲状腺肿瘤 |
| 收稿时间： | 2005-07-26 |
| 修稿时间： | 2005年7月26日 |
The implication of anatomizing the recurrent laryngeal nerve in thyroid surgery |
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| HUANG Yideng,ZHENG Hongliang,XIA Siwen,HUANG Zix,LUO Chunjuan,ZHOU Shuimiao,LI Zhaoji.The implication of anatomizing the recurrent laryngeal nerve in thyroid surgery[J].Chinese Archives of Otolaryngology-Head and Neck Surgery,2005,12(12):745-747. |
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| Authors: | HUANG Yideng ZHENG Hongliang XIA Siwen HUANG Zix LUO Chunjuan ZHOU Shuimiao LI Zhaoji |
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| Abstract: | OBJECTIVE To study the role of anato-mizing the recurrent laryngeal nerve(RLN) in preventingthe injury in thyroid surgery.METHODS The clinical dataof 174 cases with thyroid tumour were retrospectiveanalysed, of which 84 cases(116 sides) were per-formed RLN exposur e and 90 cases RLN non-exposure. RESULTS Temporary nerve injury was in one(1.2 %) in RLN exposure groups. Temporary nerve in-jury and permanent nerve injury occurred respec-ti vely in 3 cases(6.7 %) in RLN non-exposuregroup.There was significant difference between twogroups(P <0.05).CONSLUSION RLN injury can be re-duced by revealing RLN in thyroid surgery. Skilledgrasped anatomy charastiteristic of RLN and correctidentification of RLN were essential in thyroid surgery. |
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| Keywords: | Recurrent Laryngeal Nerve SurgicalProcedures Operative Vocal Cord Paralysis ThyroidNeoplasms |
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