在甲状腺切除术中复发性喉神经的变化
Pankaj Kumar1, Moudipa Chatterjee1, Ajay Gupta1
1Dept. of ENT, Head and Neck surgery, Dr. Baba Saheb Ambedkar Medical College and Hospital, Bhagwan Mahavir Marg, Sector 6, Rohini, Delhi India.
这项研究研究了甲状腺手术期间的复发性喉神经 (RLN) 解剖学. 下部甲状腺动脉和气管-食道槽被证明是确定RLN的可靠地标.
科学领域:
- 人体解剖学 解剖学 解剖学
- 手术手术手术手术手术手术手术手术手术手术
- 神经变异 神经变异
背景情况:
- 循环喉神经 (RLN) 对于语音功能至关重要.
- 在RLN解剖学的变化可以使甲状腺手术复杂化,增加神经损伤的风险.
- 准确识别RLN对于在甲状腺切除术期间保持声带功能至关重要.
研究的目的:
- 为了识别和评估解剖变异和复发性喉神经 (RLN) 的过程.
- 为了评估地标的可靠性,如下部甲状腺动脉 (ITA) 和气管-食道槽,用于RLN识别.
- 在接受一次性甲状腺手术的患者中记录RLN变异的频率.
主要方法:
- 一年来对52名接受甲状腺初级手术的患者进行了回顾性研究.
- 在手术期间详细记录RLN解剖学及其与周围结构的关系 (56个侧面进行手术).
- 对较低甲状腺动脉和气管-食道槽相对RLN过程的分析.
主要成果:
- 在83.9%的病例中,RLN被确定为单个干部.
- 在10.7%的病例中观察到额外喉分支;没有发现非复发的喉神经.
- 在82%的病例中,RLN深入到ITA,在75.9%的病例中,进入气管-食道槽.
结论:
- 在这项研究中,RLN解剖学的变化被发现是罕见的,可能是由于样本大小.
- 下部甲状腺动脉和气管-食道槽是可靠的解剖学地标,用于在甲状腺手术期间跟踪RLN.
- 了解RLN变异和使用一致的地标可以帮助外科医生预防神经损伤.
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