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目的:研究运用喉返神经解剖方式分析困难甲状腺手术。方法:分析在2014年1月-2014年12月我院收治的困难甲状腺手术的患者120例,随机分成2组,各60例,其中观察组未运用喉返神经解剖术进行困难甲状腺手术;对照组采用喉返神经解剖方法治疗困难甲状腺手术。结果:对照组中只有5例患者喉返神经坏死,115例患者喉返神经解剖手术成功,顺利发现甲状腺病灶;2例患者在经过喉返神经解剖后出现无声嘶情况,所有患者均无并发症;观察组的喉返神经解剖成功的患者是30例,其中未成功解剖90例,两组对比具有明显统计学意义(P<0.05)。结论:运用喉返神经解剖方式可以对一些疑难的甲状腺病症得以及时有效的诊治,而且也可以减少喉返神经组织的损伤。
Objective: To study the application of recurrent laryngeal nerve anatomy to analyze difficult thyroid surgery. Methods: 120 patients with difficult thyroid surgery admitted to our hospital from January 2014 to December 2014 were randomly divided into 2 groups (60 cases each). The control group did not use recurrent laryngeal nerve anatomy for difficult thyroid surgery. Laryngeal nerve anatomy was used to treat difficult thyroid surgery. Results: In the control group, only 5 patients had recurrent laryngeal nerve necrosis, and 115 patients had successful laryngeal nerve anatomy. Thyroid lesions were successfully found. In 2 patients, no recurrent laryngeal nerve was found, and all patients had no complication The successful recanalization of the recurrent laryngeal nerve in the observation group was 30 cases, of which 90 cases were not successfully dissected. There was significant difference between the two groups (P <0.05). Conclusion: The use of recurrent laryngeal nerve anatomy can be a timely and effective diagnosis and treatment of some difficult thyroid diseases, but also can reduce the damage of the recurrent laryngeal nerve tissue.