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目的探讨喉返神经的显露在甲状腺癌根治性手术中的意义。方法回顾分析2003年7月至2006年12月间186例主动显露喉返神经的甲状腺癌根治手术病例资料。结果186例甲状腺癌均施行甲状腺全切或近全切除术。术中均成功显露双侧喉返神经,其中1例右侧非返喉下神经。喉返神经永久性损伤1例,暂时性损伤1例,永久损伤率为0.54%。结论甲状腺癌根治术中应常规在甲状腺下动脉周围寻找喉返神经,主动显露喉返神经不仅可减少喉返神经损伤的发生率,并可提高甲状腺癌手术的彻底性。
Objective To investigate the significance of recurrent laryngeal nerve in the radical surgery of thyroid cancer. Methods Retrospective analysis of 186 patients with active recurrent laryngeal nerve thyroid carcinoma radical surgery cases from July 2003 to December 2006. Results 186 cases of thyroid cancer were performed total thyroidectomy or subtotal resection. Intraoperative success were revealed in bilateral recurrent laryngeal nerve, including 1 case of right non-return laryngeal nerve. One case of recurrent laryngeal nerve injury, temporary injury in 1 case, the permanent damage rate was 0.54%. Conclusions Radical recurrent nerves around the thyroid artery should be routinely found in radical thyroidectomy. Active exposure of the recurrent laryngeal nerve can not only reduce the incidence of recurrent laryngeal nerve injury, but also improve the thoroughness of thyroid cancer surgery.