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目的 :探讨甲状腺手术中喉返神经损伤的原因及预防措施。方法 :手术治疗甲状腺疾病 12 5例 ,术中显露喉返神经 ,行甲状腺腺叶或腺叶 +峡部切除术治疗原发灶。结果 :共解剖喉返神经 14 5侧 ,术后出现暂时性喉返神经损伤 1例 ,喉返神经损伤发生率为 0 8% (1/12 5 )。结论 :熟悉喉返神经的解剖及变异 ,术中显露喉返神经 ,行瘤侧腺叶或腺叶 +峡部切除术 ,能避免损伤喉返神经 ,是甲状腺肿瘤手术中预防喉返神经损伤的有效方法
Objective: To investigate the causes and preventive measures of recurrent laryngeal nerve injury in thyroid surgery. Methods: Surgical treatment of thyroid disease in 125 cases, intraoperative recurrent laryngeal nerve line thyroidectomy or gland lobectomy resection of the primary tumor. Results: A total of 14 5 sides of recurrent laryngeal nerve were dissected. One case had temporary recurrent laryngeal nerve injury, and the incidence of recurrent laryngeal nerve injury was 0.8% (1/12 5). Conclusion: Familiar with the anatomy and variation of the recurrent laryngeal nerve, intraoperative recurrent laryngeal nerve, the tumor side of the lobe or gland leaf + isthmus resection, to avoid damage to the recurrent laryngeal nerve, thyroid cancer surgery is effective in preventing recurrent laryngeal nerve injury method