入喉处解剖暴露喉返神经在甲状腺腺叶切除术中的应用价值及安全性研究

doi:10.3969/j.issn.1001-8131.2023.05.005

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Abstract Objective To investigate the applicationeffect of exposing recurrent laryngeal nerve at the laryngeal entrance in thyroid lobectomy.Methods A total of 94 case patientswho underwent thyroidlobectomy were selected and divided into a control group and an experimental group according to the random number table method,with 47 cases in each group.The control group was exposed below the thyroid artery,while the experimental group exposed the recurrent laryngeal nerve at the laryngeal entrance.The changes of perioperative indexes,thyroid function [thyroxine（T4）,free thyroxine（FT4）,parathyroid hormone（PTH）],vocal cord function[fundamental frequency,harmonic generation ratio（HNR）,normalized noise energy（NNE）],and the incidence of complications of the two groupswere compared.Results Compared with the control group,the operation time and hospitalization time of the experimental group were shorter,the amount of intraoperative blood loss was less,and the pain score on the first day after operationwas lower（P<0.05）;Compared with the control group,the levels of FT4,PTH and T4 in the experimental group3 days after operation were higher（P<0.05）;Compared with the control group,the fundamental frequency and NNE of the experimental group one month after operation were lower,and the HNR was higher（P<0.05）;The complication rate of the the experimental group 8.51%（4/47）was lower than that of the control group 25.53%（12/47）（P<0.05）.Conclusion Anatomical exposure of the recurrent laryngeal nerve into the larynx has a significant effect in thyroid lobectomy,which can improve the perioperative indicators,improve the thyroid function and vocal cord function,and can reduce the incidence of complicatios.It is worthy of further clinical application.

Key words： Thyroid lobectomy Dissecting and exposing recurrent laryngeal nerve at the laryngeal entrance thyroid function

Received: 29 September 2022

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R581

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	Articles by authors
	Li huili
	Kong weibo
	Chang yongke

Cite this article:

Li huili,Kong weibo,Chang yongke. Application Value and Safety of Dissecting and Exposing the Recurrent Laryngeal Nerve at the Entrance To the Larynx in Thyroid Lobectomy[J]. journal1, 2023, 43(5): 12-14.

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http://www.hrbyybjb.org.cn/EN/10.3969/j.issn.1001-8131.2023.05.005 OR http://www.hrbyybjb.org.cn/EN/Y2023/V43/I5/12

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