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目的探讨良性甲状腺肿瘤手术时损伤喉返神经的影响因素及预防措施。方法选取2014年4月至2015年4月在阜新市中心医院进行良性甲状腺肿瘤手术治疗的患者76例为研究对象,分析手术方式、暴露喉返神经与喉返神经损伤之间的关系,并分析有效的预防措施。结果手术部位、手术次数、神经暴露等因素对喉返神经损伤具有明显影响,其中右侧手术、再次手术及喉返神经不暴露时喉返神经损伤的发生率高于左侧手术、初次手术和喉返神经暴露患者,差异均有统计学意义(均P<0.05)。结论喉返神经损伤的主要原因是右侧手术、再次手术、非神经暴露等,治疗时暴露喉返神经,在视野保护下操作能降低喉返神经损伤的发生率。
Objective To investigate the influencing factors and preventive measures of injury of recurrent laryngeal nerve during operation of benign thyroid neoplasms. Methods From April 2014 to April 2015 in Fuxin Central Hospital surgical treatment of benign thyroid tumors in 76 patients as the research object, analysis of surgical methods, exposed recurrent laryngeal nerve and recurrent laryngeal nerve injury between the analysis and analysis Effective preventive measures. Results The operation site, number of operations, nerve exposure and other factors had a significant effect on the injury of recurrent laryngeal nerve. The incidence of recurrent laryngeal nerve injury in right operation, reoperation and recurrent laryngeal nerve was higher than that in left operation, initial operation and The recurrent laryngeal nerve exposure patients, the differences were statistically significant (P <0.05). Conclusions The main reason of recurrent laryngeal nerve injury is right side operation, reoperation and non-nerve exposure. Exposure to the recurrent laryngeal nerve during treatment can reduce the incidence of recurrent laryngeal nerve injury.