巨大甲状腺肿瘤切除术中喉返神经损伤的预防(1)
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[摘要] 目的 探讨行巨大甲状腺肿瘤切除手术中喉返神经(RLN)损伤的原因及预防措施。方法 对我院2008年1月～2009年12月实施的69例巨大甲状腺肿瘤双侧次全切除或单叶全切除术患者进行回顾性分析总结。结果 暂时性 RLN 损伤2 例,无永久性喉返神经损伤病例。结论 熟悉喉返神经正常解剖和变异,根据病人具体情况进行仔细操作,是避免神经损伤,特别是永久性损伤的关键。
[关键词] 喉返神经损伤; 甲状腺; 手术; 巨大甲状腺肿瘤
[中图分类号] R736.1 [文献标识码] A [文章编号] 1673-9701(2010)07-131-02
The Preventionof Recurrent Laryngeal Nerve in the Giant Thyroid Gland Tumor Excision
OUYANG Ganfeng ZENG Degai JIANG Hui
Department of Surgery,the People’s Hospital of Xinfeng,Xinfeng 511100,China
[Abstract] ObjectiveTo discusses in the general anesthesia downward giant thyroid gland tumor excision surgery the throat to return to the neurotrosis the reason and the preventive measure. MethodsUnder the general anesthesia implements January,2008 from 69 example giant thyroid gland tumor thyroid gland bifoil which or the single leaf total excision technique patient to December,2009 carries on the review analysis summary to this courtyard ......
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