甲状腺切除术中喉返神经损伤的预防体会…………汤月良_新医学_新浪博客 关键词】甲状腺切除术；喉返神经损伤；预防 [gap=1143]Key Words】Thyroid surgery；Recurrent laryngeal nerve injury；Prevention
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Postoperative complication was 44 cases,consist of hypothyroidism 30 cases,hypothyroidism hypoparathyroidism 5 cases,one later recurrent laryngeal nerve injury 7cases,two later recurrent laryngeal nerve injury 1cases ,trachea soften and collapse 1 cases. no death occurred.
术后出现并发症者44例,其中包括术后甲状腺功能低下30例,甲状旁腺功能低下5例,单侧喉返神经损伤7例,双侧喉返神经损伤1例,气管软化塌陷1例,无死亡病例。
参考来源 - 120例巨大甲状腺肿的外科治疗·2,447,543篇论文数据，部分数据来源于NoteExpress
Objectives To explore therapeutic effect, indication and timing of nerve decompression for traumatic recurrent laryngeal nerve injury inducing vocal cord paralysis.
目的探讨单侧喉返神经损伤声带麻痹时喉返神经探查减压术和喉返神经端端吻合术的疗效及适应证。
Conclusion: in the operation of thyroid gland, identifying correctly and dissecting safely the recurrent laryngeal nerve may prevent the nerve injury and decrease its occurrence rate.
结论：甲状腺手术中正确辨认并安全地解剖喉返神经可以预防喉返神经损伤，降低喉返神经的损伤率。
Conclusions in surgical operation of thyroid tumor the injury of the laryngeal recurrent nerve should be avoided.
结论甲状腺肿瘤手术为避免喉返神经损伤，应强调严格按照外科间隙解剖。
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