首页|甲状腺术中保留甲状腺上动脉后支对喉上神经外支功能的临床意义

甲状腺术中保留甲状腺上动脉后支对喉上神经外支功能的临床意义

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目的 探讨甲状腺术中保留甲状腺上动脉后支对保护喉上神经外支功能的临床意义.方法 收集2019年1月至2022年12月124例甲状腺手术患者的临床资料,根据有无保留甲状腺上动脉后支分为观察组和对照组,每组各62例.观察组保留患者的甲状腺上动脉后支,对照组则未保留.比较两组患者手术时间、术中出血量、术后引流量、术后饮水呛咳、发音低调等情况.结果 两组患者手术时间、术中出血量、术后引流量等比较,差异均无统计学意义(P>0.05);观察组术后无饮水呛咳、发音低调等情况,对照组术后饮水呛咳6例、发音低调11例,两组差异有统计学意义(P<0.05).结论 甲状腺术中保留甲状腺上动脉后支,保护了喉上神经外支及血运,明显减少甲状腺术中喉上神经外支的损伤,值得临床推广.
Objective To explore the clinical effect of preserving the posterior glandular branch of the superior thyroid artery in protecting the external branch of superior laryngeal nerve function.Methods The 124 thyroid surgery patients admitted between January 2019 and December 2022 were divided into observation group and control groups,with 62 patients in each group.The posterior glandular branch of the superior thyroid artery was retained in the observation group,but not in the control group.The operation time,intraoperative blood loss,postoperative drainage volume,postoperative cough and low-key pronunciation in the two groups were analyzed.Results Between the two groups,intraoperative time,intraoperative blood loss,postoperative drainage volume,were not different(P>0.05),the observation group had no postoperative cough and low-key pronunciation.In the control group,6 cases of postoperative drinking cough and 11 cases of low pronunciation,and the difference was significant(P<0.05).Conclusion The preservation of the posterior glandular branch of the superior thyroid artery during thyroid surgery protects the external branch of the superior laryngeal nerve and blood transport,and can significantly reduce the damage of the external branch of the superior laryngeal nerve during thyroid surgery,which is worthy of clinical promotion.

ThyroidThyroidectomy externalBranch of superior laryngeal nerveNerve injury

张琰、陈翔、徐宙、陆宝华、屈悦、刘利敏

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201999 上海市宝山区中西医结合医院

甲状腺 甲状腺切除术 喉上神经外支 神经损伤

2024

浙江临床医学
浙江中医药大学 浙江省科普作家协会医学卫生委员会

浙江临床医学

影响因子:0.52
ISSN:1008-7664
年,卷(期):2024.26(7)