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甲状腺外科手术中喉返神经的解剖
引用本文:王丽,朱丽,汪敏,刘帆. 甲状腺外科手术中喉返神经的解剖[J]. 临床耳鼻咽喉头颈外科杂志, 2005, 19(3): 112-113
作者姓名:王丽  朱丽  汪敏  刘帆
作者单位:北京大学第三医院耳鼻咽喉科,北京,100083;北京大学第三医院耳鼻咽喉科,北京,100083;北京大学第三医院耳鼻咽喉科,北京,100083;北京大学第三医院耳鼻咽喉科,北京,100083
摘    要:目的:探讨甲状腺外科手术中喉返神经的解剖特点和方法。方法:回顾性分析56例甲状腺疾病患者在手术中解剖的63条喉返神经的有关资料:结果:48条喉返神经入喉前分成前、后两支.占喉返神经总数的76.19%。29条(46.03%)喉返神经位于甲状腺下动脉的深部.19条(30.56%)喉返神经位于甲状腺下动脉的浅面.8侧(12.70%)甲状腺下动脉分叉.神经穿行其间.7侧(11.11%)术中未发现甲状腺下动脉:术后喉返神经暂时麻痹1例,永久麻痹1例。结论:充分掌握喉返神经的解剖特点.术中正确辨认并安全地解剖喉返神经是避免喉返神经损伤的关键。

关 键 词:喉返神经  解剖  甲状腺外科
文章编号:1001-1781(2005)03-0112-02
修稿时间:2004-07-30

Anatomic study on the recurrent laryngeal nerve in thyroid surgery
WANG Li,ZHU Li,WANG Min,LIU Fan. Anatomic study on the recurrent laryngeal nerve in thyroid surgery[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2005, 19(3): 112-113
Authors:WANG Li  ZHU Li  WANG Min  LIU Fan
Affiliation:Department of Otolaryngology, Third Hospital of Peking University, Beijing 100083, China. doctorwangli@yahoo.com.cn
Abstract:Objective:To study the anatomic characteristic and dissecting approach of recurrent laryngeal nerve in thyroid surgery.Method:A retrospective review of surgical data of consecutive 56 patients undertook thyroid surgery was conducted, in which total 63 recurrent laryngeal nerves were identified.Result:A nerve bifurcation was found in 48 recurrent laryngeal nerves.Twenty-nine nerves were deep to the inferior thyroid artery, 19 were superficial to the artery, 8 were between the arteries.The inferior thyroid artery was not found in 7 cases.Conclusion:Correct identification and safe dissection of the recurrent laryngeal nerve are essential in thyroid surgery.
Keywords:Recurrent laryngeal nerve  Anatomy  Thyroid surgery
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