甲状腺手术中喉返神经解剖的临床观察

代洪; 华清泉; 江洋; 盛建飞

doi:10.13201/j.issn.1001-1781.2014.24.005

甲状腺手术中喉返神经解剖的临床观察

- 武汉大学人民医院耳鼻咽喉头颈外科(武汉, 430060)

详细信息

通讯作者: 华清泉,E-mail:hqqrm@sina.com

中图分类号: R736.1

收稿日期: 2014-05-27

Anatomy of recurrent laryngeal nerve during thyroid surgery

- Department of Otorhinolaryngology Head and Neck Surgery, Renmin Hospital of Wuhan University, Wuhan, 430060, China

More Information

Corresponding author: HUA Qingquan, E-mail: hqqrm@sina.com

Received Date: 27 May 2014

摘要

摘要: 目的:研究甲状腺手术中喉返神经的解剖特点。方法:回顾性分析307例甲状腺疾病患者的手术资料。结果:解剖暴露喉返神经342条(右侧184条,左侧158条),神经位于下动脉深面通过215条(62.9%),神经位于动脉浅面通过106条(31.0%),神经在动脉分支之间通过21条(7.5%)。喉返神经入喉前分支者203条(59.4%),未分支直接入喉者136条(39.8%)。有3例(0.9%)术中证实为一侧"非返性喉返神经"。所有患者术后均未出现永久性喉返神经麻痹。结论:甲状腺手术中对喉返神经精细解剖后加以保护,是预防喉返神经损伤的有效方法。
- 甲状腺肿瘤 /
- 喉返神经 /
- 解剖 /
- 手术
Abstract: Objective:To study the anatomic characteristics of recurrent laryngeal nerve during thyroid surgery. Method:A retrospective review of surgical data of 307 patients undertook thyroid surgery was conducted. Result:Total 342 recurrent laryngeal nerves were identified during the surgery(184 on the right side,left 158). 215(62.9%) nerves were deep to the inferior thyroid artery,106(31.0%)were superficial to the artery, 21(7.5%) were between the arterial branches. A nerve bifurcation was found in 203(59.4%).None of nerve bifurcation was found in 136(39.8%).3(0.9%)were confirmed to hold non-recurrent laryngeal nerves during operations. No patient showed permanent laryngeal recurrent nerve paralysis postoperatively. Conclusion:The careful dissection and protection of the recurrent laryngeal nerve was an effective method to prevent its injury during thyroid surgery.
- thyroid neoplasms /
- recurrent laryngeal nerve /
- anatomy /
- surgery

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参考文献(9)

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