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《顯露喉返神經(jīng)甲狀腺手術(shù)臨床療效觀察及對(duì)預(yù)防喉返神經(jīng)損傷的影響》由會(huì)員上傳分享,免費(fèi)在線閱讀,更多相關(guān)內(nèi)容在工程資料-天天文庫(kù)。
1、顯露喉返神經(jīng)甲狀腺手術(shù)臨床療效觀察及對(duì)預(yù)防喉返神經(jīng)損傷的影響李同宇河南省南陽(yáng)市唐河縣人民醫(yī)院,河南唐河473400摘要:FI的探討顯露喉返神經(jīng)甲狀腺手術(shù)對(duì)預(yù)防喉返神經(jīng)損傷的影響。方法:選擇152例甲狀腺手術(shù)患者為研宂對(duì)象,采用隨機(jī)數(shù)字表法分為對(duì)照組和觀察組各76例,對(duì)照組患者實(shí)施常規(guī)甲狀腺手術(shù),觀察組患者采取顯露喉返神經(jīng)的甲狀腺手術(shù)。比較兩組手術(shù)指標(biāo)、喉返神經(jīng)損傷情況。結(jié)果:手術(shù)指標(biāo):觀察組患者手術(shù)時(shí)間明顯長(zhǎng)于對(duì)照組,術(shù)后疼痛評(píng)分、住院時(shí)間均明顯低于對(duì)照組(t=13.799~14.831,P<0.05);喉返
2、神經(jīng)損傷情況:觀察組喉返祌經(jīng)損傷1.32%、永久性喉返神經(jīng)損傷0.00%明顯低于對(duì)照組(13.16%,9.21%)(x2=9.455?9.818,P<0.05)。結(jié)論:顯露喉返祌經(jīng)甲狀腺手術(shù)雖然手術(shù)時(shí)間較長(zhǎng),但能緩解術(shù)后疼痛程度,預(yù)防喉返神經(jīng)損傷,促進(jìn)患者康復(fù)。關(guān)鍵詞:甲狀腺手術(shù);喉返神經(jīng);聲音嘶啞Exposelaryngealrecurrentnervethyroidsurgeryclinicalcurativeeffectobservationandforthepreventionofrecurrentl
3、aryngealnerveinjuryLiTongyuTheCountyPeople'sHospitalofNanyang;Tanghe;473400Henan,Abstract:Objective:Tostudyeffectofexposureofrecurrentlaryngealnerveinthyroidoperationforthepreventionofrecurrentlaryngealnerveinjury.Methods:152casespatientswiththyroidoperationwe
4、rerandomlydividedintoobservationgroupandcontrolgroup,Controlgrouppatientsgivenventionalthyroidsurgery,observationgroupgivenexposelaryngealrecurrentnervethyroidsurgery.operationindicatorsjaryngealrecurrentnerveinjurywerecomparedbetweentwogroups..Results:Operati
5、onindicators:observationgroupoperationtimewassignificantlylongerthanthecontrolgroup,postoperativepainscore,lengthofhospitalstayweresignificantlylowerthanthecontrolgroup(t=13.799?14.831,P<0.05);Laryngealrecurrentnerveinjury:observationgrouplaryngealrecurrent
6、nerveinjuryl.32%,permanentlaryngealrecurrentnerveinjury0.00%weresignificantlylowerthanthecontrolgroup(13.16%,9.21%)(x2=9.455?9.818,P<0.05).Conclusion:Exposelaryngealrecurrentnervethyroidsurgery,althoughsurgerytimewaslonger,butitcanrelievepostoperativepainde
7、gree,preventlaryngealrecurrentnerveinjury,andpromotepatientsrecover.【Keywords】Thyroidoperation;Recurrentlaryngealnerve;Voicehoarse中圖分類號(hào):R653文獻(xiàn)標(biāo)識(shí)碼:A甲狀腺手術(shù)是甲乳外科常見(jiàn)的手術(shù)之一,喉返神經(jīng)損傷是甲狀腺手術(shù)的嚴(yán)重并發(fā)癥。喉返神經(jīng)損傷可造成聲音嘶啞、說(shuō)話費(fèi)力。嚴(yán)重?fù)p傷者者可因聲帶外展障礙引起呼吸困難、窒息等[1】。因此臨床手術(shù)者均非常重視甲狀腺手術(shù)中喉返神經(jīng)的保護(hù)。顯露喉
8、返神經(jīng)是治療甲狀腺疾病的一種新的手術(shù)操作方式,充分顯露喉返神經(jīng)能最大限度避免喉返神經(jīng)損傷,從而減少喉返神經(jīng)損傷等并發(fā)癥的發(fā)生,促進(jìn)患者康復(fù),也有學(xué)者認(rèn)為過(guò)度暴露喉返神經(jīng)會(huì)加重神經(jīng)損傷[2】。本文采取隨機(jī)對(duì)照研究的方法,探討顯露喉返神經(jīng)甲狀腺手術(shù)對(duì)預(yù)防喉返神經(jīng)損傷的影響。1對(duì)象與方法1.1研究對(duì)象選擇2012年10月-2014年12月期間在我院甲乳外科住院治療