The clinical observation of exposure recurrent laryngeal nerve through different ways in thyroid operation
10.3760/cma.j.issn.1008-6706.2017.15.023
- VernacularTitle:不同途径暴露喉返神经在甲状腺手术中的临床应用
- Author:
Lei ZHU
;
Feng CHENG
;
Bin ZHOU
- Keywords:
Thyroid gland;
Recurrent laryngeal nerve;
Operation mode
- From:
Chinese Journal of Primary Medicine and Pharmacy
2017;24(15):2334-2337
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the prevention of recurrent laryngeal nerve injury through the exposure recurrent laryngeal nerve by different ways in thyroid operation.Methods The patients with thyroid surgery were selected as study objects,and they were randomly divided into the inferior horn of thyroid cartilage and the inferior thyroid artery group according to the digital table.The operation time,amount of bleeding and the time of postoperative hospitalization were compared between the two groups,and the incidence of recurrent laryngeal nerve injury was analyzed.Results The differences were not statistically significant in the operation time,amount of bleeding and the time of postoperative hospitalization between the two groups (t=1.294,0.967,1.008,all P>0.05).The incidence rate of recurrent laryngeal nerve injury in the inferior thyroid artery group(4.61%) was higher than that in the thyroid cartilage angle group(1.54%)(χ2=4.203,P<0.05).The incidence rates of recurrent laryngeal nerve injury in subtotal thyroidectomy were 15.38% and 5.26% respectively,and the incidence rates of recurrent laryngeal nerve injury in subtotal thyroidectomy were 12.5% and 0.0%,the differences were statistically significant (χ2=5.729,8.237,all P<0.05),but there was no statistically significant difference in partial thyroidectomy(χ2=1.182,P>0.05).Conclusion The exposure recurrent laryngeal nerve through the inferior horn of thyroid cartilage in thyroid operation can protect the recurrent laryngeal nerve,and can not increase the operation time,bleeding volume and the hospitalization time after surgery,which is worthy of further application.
