文章摘要

甲状腺手术中喉返神经解剖变异特征及显露方法的再认识

作者: 1余幼林, 1胡超华, 1韩运涛, 1沈雄山, 1李卫民, 1沈浩元, 1彭东杰
1 武汉科技大学附属孝感医院/湖北省孝感市中心医院 普通外科/ 孝感市甲状腺乳腺疾病诊疗中心，湖北 孝感 432100
通讯: 余幼林 Email: yuyoulin2800@163.com
DOI: 10.3978/.10.3978/j.issn.1005-6947.2017.05.020

摘要

喉返神经（RLN）的显露与保护是甲状腺手术质量与安全的重要保证。由于RLN本身解剖变异，医源性损害，导致术中、术后RLN暂时或永久性损伤，影响了甲状腺患者术后生活质量及疾病预后。笔者结合文献及临床实际工作经验，分别阐述RLN解剖变异特征及5种不同RLN显露方法适应证及手术技巧。
关键词： 甲状腺切除术 喉返神经损伤 解剖变异 综述文献

Re-recognition of anatomical variation features of recurrent laryngeal nerve and its exposure methods in thyroid surgery

Authors: 1YU Youlin, 1HU Chaohua, 1HAN Yuntao, 1SHEN Xiongshan, 1LI Weimin, 1SHEN Haoyuan, 1PENG Dongjie
1 Department of General Surgery/Xiaogan Center for Diagnosis and Treatment of Thyroid and Breast Diseases, Affiliated Xiaogan Hospital, Wuhan University of Science and Technology/Xiaogan Central Hospital, Hubei 432100, China

CorrespondingAuthor:YU Youlin Email: yuyoulin2800@163.com

Abstract

Better exposure and protection of recurrent laryngeal nerve (RLN) are critical to ensure the quality and safety of thyroid surgery. The temporary or permanent RLN injury during or after operation caused by anatomical variations of the RLN and iatrogenic damage may affect the patients’ quality of life and the prognosis of the disease. Here, the authors, based on literature review and experiences of clinical practice, address the anatomical variation features of the RLN and the indications and surgical techniques for five different exposure methods of the RLN.
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