甲状腺癌全切术中应用精细化甲状腺被膜解剖技术对喉返神经的影响

Effect of membrane anatomy combined with total thyroidectomy on recurrent laryngeal nerve for patients with thyroid cancer

摘要:

目的 探究甲状腺癌全切术中应用精细化甲状腺被膜解剖技术对患者喉返神经的影响。方法 选取安徽理工大学第一附属医院普外科收治的甲状腺癌患者120例，采用随机数字表法分为研究组和对照组，每组60例。研究组实施精细化甲状腺被膜解剖技术行甲状腺全切术，对照组根据实际情况采用全甲状腺切除术。比较两组患者喉返神经功能的恢复时间、发生喉返神经功能损伤比例、并发症情况，以及复发或转移发生情况。结果 研究组患者喉返神经功能损伤的比例（3.81%）较对照组（21.67%）低（P <0.05），喉返神经功能的恢复时间（22.41±2.17） d较对照组（63.53±10.13） d缩短（P <0.05）；研究组患者术后并发症发生率为10%，低于对照组的25%（P <0.05）；研究组患者转移率0%及复发率0%均较对照组的10%和11.67%低（P <0.05）。结论 甲状腺癌全切术中应用精细化甲状腺被膜解剖技术对喉返神经有保护作用。

Abstract:

Objective To explore the effect of membrane anatomy combined with total thyroidectomy on the treatment of thyroid carcinoma and the protection of the recurrent laryngeal nerve in patients.Methods Totally 120 patients with thyroid cancer admitted to the department of general surgery of the First Affiliated Hospital of Anhui University of technology were randomly divided into study group and control group. The study group underwent membrane anatomy combined with thyroid cancer excision, and the control group underwent total thyroidectomy. The recovery time of recurrent laryngeal nerve function, the proportion of recurrent laryngeal nerve function injury, complications, survival rate, and recurrence or metastasis were observed.Results The proportion of patients with injury of recurrent laryngeal nerve function in study group (3.81%) was lower than that in control group (21.67%) (P < 0.05), and the recovery time of recurrent laryngeal nerve function in study group (22.41 ± 2.17) days was shorter than that in control group (63.53 ± 10.13) days (P < 0.05). The incidence of complications after postoperative treatment in the study group was 10%, which was lower than that in the control group 25% (P < 0.05). The metastasis rate 0% and recurrence rate 0% in the study group were lower than those in the control group 10% and 11.67% was low (P < 0.05).Conclusion Membrane dissection combined with total thyroidectomy can protect the recurrent laryngeal nerve during radical thyroidectomy.