127例甲状腺手术患者术中喉返神经显露对术后并发症的影响观察

摘要

Objective:To observe the effect of recurrent laryngeal nerve exposure on postoperative com-plications in 127patients undergoing thyroid operation. Methods:127 cases of patients who underwent thyroid operation in our hospital from September 2011 to September 2015 were selected and randomized into observa-tion group and control group. 67 patients in the control group did not exposed the recurrent laryngeal nerve in operation while 60 cases in the observation group exposed the recurrent laryngeal nerve in operation. The oper-ation time,intropaerative blood loss,length of hospital stay and other operation indexes and the incidence of postoperative complications were compared between the two groups. Results:The operation time of the obser-vation group [(106.31±13.48) min] was significantly longer than that of the control group [(95.61±12.82) min] (P < 0.05);The incidence of postoperative complications in the observation group (4.47%) was lower than that in the control group (18.33%) (P < 0.05). Conclusion:The time of intraoperative exposure of re-current laryngeal nerve in patients undergoing thyroid operation is relatively longer, but it can effectively re-duce the incidence of postoperative complications and reduce the pain of patients. It is of application and pro-motion value in thyroid operation in the future.%目的:观察127例甲状腺手术患者术中喉返神经显露对术后并发症的影响.方法:选取我院2011年9月至2015年9月甲状腺手术患者127例,随机分为观察组与对照组,对照组67例患者在术中不显露喉返神经,观察组60例患者在术中显露喉返神经,比较两组患者手术时间、术中出血量、住院天数等手术指标和术后并发症发生率.结果:观察组患者手术时间为(106.31±13.48)min较对照组(95.61±12.82)min较长,差异具有统计学意义(P<0.05);观察组术后并发症发生率为4.47%较对照组18.33%较低,差异具有统计学意义(P<0.05).结论:甲状腺手术患者术中显露喉返神经手术时间较长,但能有效降低术后并发症的发生率,减轻患者痛苦,在今后的甲状腺手术中有应用推广价值.