Recurrent laryngeal nerve in thyroid surgery revealed the significance of.docVIP

 PAGE \* MERGEFORMAT 3 Recurrent laryngeal nerve in thyroid surgery revealed the significance of Authors: Feng Chang-Bin Ye Gu Qian Cao Fei Lin [Keywords:] Thyroid recurrent laryngeal nerve Recurrent laryngeal nerve injury is a serious complication of thyroid surgery, especially in patients with bilateral injuries can cause breathing difficulties, and even suffocation [1]. Of recurrent laryngeal nerve injury due to the current lack of an ideal reconstruction method, especially the grass-roots hospitals, it is extremely important to the prevention of recurrent laryngeal nerve injury. Our hospital from January 2002 to December 2006, completed a total of 612 cases of various types of thyroid surgery to explore the recurrent laryngeal nerve in thyroid surgery revealed significance. A clinical data 1.1 General Information 612 cases of thyroid surgery patients, 180 cases of male and female 432 cases; age from 14 to 76 years, median 41.6 years. 416 cases of unilateral, bilateral 196 cases. Pathological diagnosis of 405 cases of nodular goiter, thyroid adenoma 103 cases, 72 cases of papillary thyroid carcinoma, thyroid follicular cancer, 10 cases of medullary thyroid carcinoma in 3 cases, 19 cases of primary hyperthyroidism. Revealed 422 cases of intraoperative recurrent laryngeal nerve, which revealed 440 nerve, 190 cases of intraoperative recurrent laryngeal nerve have not been revealed. 1.2 surgical The side of the thyroid lobectomy 280 cases, the side lobe subtotal 120 cases, the side lobe resection and subtotal resection of the other side lobe 162 patients, total thyroidectomy in 18 cases, 32 cases of bilateral subtotal thyroidectomy. 2 Results Revealed 422 cases of intraoperative recurrent laryngeal nerve, a total of 440 nerves, in which the right side 200, left 240, revealed three cases of postoperative hoarseness occurred, the damage rate of 0.68% (3 / 440), indirect laryngoscopy were seen in lateral vocal cord paralysis surgery, operating to supp