中国现代手术学杂志  2017, Vol. 21 Issue (3): 194-196 |
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| 甲状腺腺叶切除术中喉返神经入喉处解剖暴露的临床效果研究 |
| 唐巍；张显岚；曾繁余 |
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摘要 目的 探讨喉返神经入喉处解剖暴露在甲状腺腺叶切除术中的临床效果。方法 回顾性分析我院2012年12月~2015年5月行甲状腺腺叶切除术的120例患者临床资料,依据术中喉返神经暴露方法分为两组,各60例,试验组采用喉返神经入喉处解剖暴露,对照组采用甲状腺下动脉下方解剖暴露。比较两组的手术时间、术中出血量、并发症发生情况以及术后疼痛VAS评分和患者满意度。结果 试验组平均手术时间和术中出血量分别为(80.3±10.1)min和(34.5±10.2)ml,对照组分别为(115.8±12.3)min和(46.8±11.5)ml,组间比较均有统计学差异(P<0.05)。试验组并发症发生率为3.3%,明显低于对照组的16.7%(P<0.05)。试验组VAS评分平均(2.1±1.0)分,低于对照组的(4.3±2.1)分(P<0.05);试验组患者术后满意度为96.7%,高于对照组的83.3%,差异有统计学意义(P<0.05)。结论 甲状腺腺叶切除术中喉返神经入喉处解剖暴露可以加快手术进程,减少并发症的发生,具有重要临床意义。
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| 关键词:
甲状腺腺叶切除术
喉返神经
解剖暴露
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出版日期: 2017-06-30
发布日期: 2017-10-30
期的出版日期: 2017-06-30
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