摘要
目的分析甲状腺癌手术喉返神经损伤相关因素。方法回顾性分析238例2015-10—2016-12在商丘市第四人民医院行甲状腺癌手术患者的临床资料,通过单因素及多因素分析术中喉返神经损伤的相关危险因素。结果 238例患者中发生喉返神经损伤15例,占6.30%。单因素分析显示,非精细化被膜解剖、术中未显露喉返神经、广泛性手术、多次手术的喉返神经损伤发生率明显较高,差异有统计学意义(P<0.05);Logistic多元回归分析显示,非精细化被膜解剖、术中不显露喉返神经、广泛性手术及多次手术是甲状腺癌手术喉返神经损伤的独立危险因素(P<0.05)。结论甲状腺癌手术中,缩小手术范围及精细化被膜解剖可降低喉返神经损伤发生率,且多次操作时应避免造成周围组织损伤。
Objective To analyze the related factors of recurrent laryngeal nerve injury in patients with thyroid carcinoma surgery.Methods The clinical data of 238 patients with thyroid carcinoma surgery in the Fourth People's Hospital of Shangqiu from October 2015 to December 2016 were retrospectively analyzed.The related risk factors of postoperative recurrent laryngeal nerve injury were analyzed by univariate and multivariate analysis.Results There were 15 cases of postoperative recurrent laryngeal nerve injury in 238 cases,which accounted for 6.30%.According to univariate analysis,the incidence of postoperative recurrent laryngeal nerve injury in non-meticulous capsule dissection,non-exposure of the recurrent laryngeal nerve,extensive operations,repeated operations significantly increased(P<0.05).According to Logistic multiple regression analysis,non-meticulous capsule dissection,non-exposure of the recurrent laryngeal nerve,extensive operations,repeated operations were independent risk factors of postoperative recurrent laryngeal nerve injury(P<0.05).Conclusion Reduced surgical range and meticulous capsule dissection in thyroid carcinoma surgery can decrease the incidence of recurrent laryngeal nerve injury,and it is necessary to avoid damage to surrounding tissues in multiple operations.
出处
《中国实用神经疾病杂志》
2017年第17期68-70,共3页
Chinese Journal of Practical Nervous Diseases
关键词
甲状腺癌手术
喉返神经损伤
相关因素
Thyroid carcinoma surgery
Recurrent laryngeal nerve injury
Related factors
