Author(s)

Yan Shaoxiong, Shen Shiheng

Corresponding Author

Shen Shiheng

Abstract

Objective. Anatomical characteristics and significance of recurrent laryngeal nerve in thyroid. Methods. From July 2018 to January 2019,82 patients with thyroid diseases were randomly divided into 41 study group and 41 control group, in which the rln was dissected and the RLN was not dissected. The incidence and treatment of nerve injury were compared between the study group and the control group. Results.There were 2 cases of recurrent laryngeal nerve injury in study group.The patient's pronunciation returned to normal within 30 days. No permanent damage. And there were 7 cases of recurrent laryngeal nerve injury in control group without special treatment. The longest patient's speech returned to normal within four months, with permanent damage. Compared with the control group, the number of nerve injury in the study group was less, and there was a significant difference between the two groups (p<0.05) . The effective number of the study group was 39, the effective rate was 95.12% , The effective number of the control group was 34, the effective rate was 82.93% , Compared with the study group, the treatment effect was better. The difference between the two groups is significant and statistically significant(p<0.05). Conclusion. Anatomic exposure of the recurrent laryngeal nerve (rln) in thyroid surgery can effectively reduce the incidence of rln injury and prevent the occurrence of nerve injury. It is an ideal application method and can be fully utilized.

Keywords

Recurrent laryngeal nerve injury; Thyroid surgery; Exposure of recurrent laryngeal nerve