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目的通过分析甲状腺腺瘤手术后喉返神经损伤病例,总结经验,提高防治水平。方法通过分析我院从2003～2008年手术后声音嘶哑病例4例的相似点及后续治疗结果,寻找其中的规律,结合相应资料、报告、总结预防及治疗的较佳途径。结论第1例患者全麻术后即出现声音嘶哑,另3例中两例于手术2周以后出现声音低而嘶哑,另一例在颈从麻下手术,术中分离显露喉返神经时不慎钳夹及神经,当即出现强烈反应性声嘶,术后仍有声音嘶哑。结论对于较易发生喉返神经损伤的患者,要高度警惕,解剖面清晰,常规手术显露喉返神经有利于保护。术后治疗中发音锻炼很重要。
Objective To analyze the cases of recurrent laryngeal nerve injury after thyroid adenoma surgery, summarize the experience and improve the prevention and treatment level. Methods By analyzing the similarities and follow-up results of 4 cases of hoarseness cases after operation in our hospital from 2003 to 2008, we searched for the law, combined with the corresponding data, reported and summarized the better ways of prevention and treatment. Conclusions The first case showed hoarseness after general anesthesia. In the other three cases, two cases showed low and hoarse voice after 2 weeks of surgery. In another case, the neck was accidentally anesthetized and the recurrent laryngeal nerve was separated during operation. Jaws and nerves, immediately appeared strongly reactive hoarseness, there is still a hoarse voice after surgery. Conclusions For patients who are more prone to recurrent laryngeal nerve injury, they should be highly vigilant and the anatomy should be clear. The routine operation of recurrent laryngeal nerve is conducive to the protection. Post-operative pronunciation exercise is very important.