1. 甲状腺术中喉返神经显露对暂时性喉返神经损伤发生率的影响.
- Author
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马建仓, 徐金锴, 李宗禹, 赖婧玥, 关昊, and 白育花
- Subjects
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SURGICAL blood loss , *LARYNGEAL nerve injuries , *LARYNGEAL nerves , *OPERATIVE surgery , *SURGICAL complications , *RETINAL surgery - Abstract
Objective: To investigate the effect of recurrent laryngeal nerve exposure on the incidence of temporary recurrent laryngeal nerve injury during thyroid surgery. Methods: A total of 115 patients who underwent thyroidectomy from October 2016 to October 2018 in our hospital were enrolled in the study. They were divided into two groups according to their admission order by random number table method. Both groups underwent routine thyroidectomy. Among them, 58 patients in the control group did not show recurrent laryngeal nerve; 57 patients in the study group routinely showed recurrent laryngeal nerve. The perioperative surgical indexes such as operation time, intraoperative blood loss, postoperative drainage volume, incision length and hospitalization time were recorded and compared between the two groups. The levels of serum parathyroid hormone (PTH) and calcium (Ca2+) at 1d, 4d and 7d after operation, the complications of postoperative temporary recurrent laryngeal nerve injury, postoperative hoarseness and hypocalcemia were compared between two groups. Results: The operation time, intraoperative blood loss and postoperative drainage volume of study group were significantly shorter than (less than) those of the control group (P<0.05). However, there was no significant difference in the incision length and hospitalization time between the two groups (P >0.05). The serum PTH and Ca2+ levels of study group were significantly higher than those of the control group at 1d, 4d and 7d after operation (P<0.05). The incidence of temporary recurrent laryngeal nerve injury, postoperative hoarseness and hypocalcemia in the study group were significantly lower than those in the control group (P<0.05). Conclusions: Throat retinal nerve exposure during thyroid surgery can effectively prevent temporary recurrent laryngeal nerve and thyroid function damage, reduce the incidence of postoperative complications, and the perioperative period of the patients are significantly improved. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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