常规显露喉返神经对复杂甲状腺手术患者疗效及预防喉返神经损伤影响研究.docVIP

常规显露喉返神经对复杂甲状腺手术患者疗效及预防喉返神经损伤影响研究 　　【摘要】 目的：探?复杂甲状腺手术中常规显露喉返神经的疗效及对喉返神经损伤的影响。方法：选取在本院行甲状腺切除术的患者共40例，按照随机数字表法将患者分为对照组和观察组，每组20例。对照组实施常规全身麻醉及甲状腺手术，观察组在对照组基础上采取常规显露喉返神经。记录两组患者术中出血量、手术时间、术后（1、2、3 d）引流量及总引流量。比较两组术后恢复时间、平均住院时间及术后1 d疼痛程度，检测两组喉返神经损伤情况。结果：观察组患者术中出血量和手术时间分别为（11.01±1.26）mL、（56.67±6.03）min均明显少于对照组的（12.44±1.57）mL、（61.82±6.52）min（t=3.18、2.59，P0.05）。观察组患者的暂时性和永久性喉后返神经损伤率分别为5%和0，均低于对照组的35%和30%（ 字2=3.91、5.71，P0.05）。结论：在复杂甲状腺手术中常规显露喉返神经可促进患者康复及保护喉返神经不受损伤。 　　【关键词】 显露； 喉返神经； 复杂甲状腺手术 　　Study on the Effects of Exposing the Recurrent Laryngeal Nerve on the Complex Thyroid Surgery and the Influence on Guard Against the Recurrent Laryngeal Nerve Injury/LIN Yongjian，ZHANG Deqiang，TAN Xingyou.//Medical Innovation of China，2018，15（03）：043-046 　　【Abstract】 Objective：To investigate the effects of exposing the recurrent laryngeal nerve（RLN） during the complex thyroid surgery and the influence on guard against the RLN injury.Method：40 cases with the complex thyroid surgery in our hospital were randomly selected.They were divided into the control group and the observation group，according to table of random number，each group had 20 cases.The control group was given the complex thyroid surgery under general anesthesia，based on the control group，the RLN was exposed in the observation group.Intraoperative blood loss and operation time during operation，volume of drainage（1，2，3 d 　　after operation） and total volume of drainage were recorded in both groups.Recovery time，average stay，and pain degree 1 d after operation were compared between two groups，the RLN injury was detected in two groups.Result：The intraoperative blood loss and operation time of the observation group were （11.01±1.26）mL and （56.67±6.03）min，less than （12.44±1.57）mL and（61.82±6.52）min of the control group（t=3.18，2.59，P0.05）.The temporary and permanent injury rate of the RLN of the observation group were 5% and 0，which were obviously lower than 35% and 30% of the control group（ 字2=3.91，5.71，P 　　【Key words】 Expose；