Research progress of recurrent laryngeal nerve injury repair
刘心悦 1王松 1敖亚洲1
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作者信息
1. 承德医学院附属医院甲状腺外科,河北 承德 067000
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摘要
检索PubMed、Web of Science、中国知网等数据库中有关喉返神经损伤(RLNI)在甲状腺手术中的研究.关键词包括喉返神经修复、注射喉成形术、Ⅰ型甲状腺成形术、杓状软骨内收术、神经组织工程技术等.总结和比较目前RLNI的常见治疗方法.结果显示,喉返神经直接缝合是目前修复的首选术式,颈袢-喉返神经吻合术最常用于临床,其他修复方式各有其优、缺点.大多数治疗方法可在一定程度上获得不同的效果,但仍存在需进一步克服的缺点.此外神经组织工程技术及中医康复治疗值得进一步探索关注.
Abstract
The research on recurrent laryngeal nerve injury(RLNI)in thyroid surgery was searched in PubMed,Web of Science,China National Knowledge Infrastructure(CNKI)and other databases.The key words included recurrent laryngeal nerve repair,injection laryngoplasty,type Ⅰ thyroplasty,arytenoid cartilage adduction,neural tissue engineering technology,etc.The common treatment methods of RLNI were summa-rized and compared.The results showed that direct suture of recurrent laryngeal nerve was the first choice for repair,cervical loop-recurrent laryngeal nerve anastomosis was the most commonly used in clinic,and other re-pair methods had their advantages and disadvantages.Most treatment methods can achieve different results to some extent,but there are still shortcomings that need to be further overcome.In addition,neural tissue engi-neering technology and traditional Chinese medicine rehabilitation therapy are worthy of further exploration and attention.
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