甲状腺手术喉返神经损伤及预防.pptxVIP

李 金 茂;前 言;一、喉返神经损伤发生率 ;二、喉返神经解剖;1、喉返神经的行程 ;2、喉返神经的分支 (1);2、喉返神经的分支 (2);A) Normal anatomy of the recurrent laryngeal nerve. Note that on the right side the recurrent laryngeal nerve hooks around behind the subclavian artery, while on the left side this nerve passes around behind the aortic arch before ascending in the neck. B) When there is a vascular anomaly of the right subclavian artery, the recurrent laryngeal nerve no longer recurs around this artery but proceeds from the vagus nerve in a more transverse direction to the larynx. In such a situation, the nerve is much more likely to b