Guo Z, Hu Y, Liu Q
Second Affiliated Hospital, Guangzhou Medical College, Guangzhou 510260.
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 1998 Aug;12(8):362-3, 373.
The present paper reports 86 cases of hoarseness after thyroidectomy. In 37 cases, glottic paralysis was confirmed. Among them the injury of recurrent laryngeal nerve were 89.91% (33/37). In 33(36 side) cases of recurrent laryngeal nerve paralysis, left injury was 20 and right was 16. Referring to the literature author consider that: 1. the recurrent laryngeal nerve was injured easy by thyroidectomy because that thyroid gland was located closely with recurrent laryngeal nerve in neck; 2. recurrent laryngeal nerve injury after thyroidectomy was related to the character of thyroid gland tumor and times of operations; 3. incidence of superior laryngeal nerve injure in thyroidectomy was rare; 4. following up 16 cases of glottic paralysis, most of all (13/16) hoarseness was improved with the health side vocal cords overcompensation.
本文报道了86例甲状腺切除术后声音嘶哑的病例。其中37例确诊为声门麻痹。其中喉返神经损伤占89.91%（33/37）。在33例（36侧）喉返神经麻痹病例中，左侧损伤20例，右侧损伤16例对照文献，作者认为：1.甲状腺手术易损伤喉返神经，因为甲状腺在颈部与喉返神经位置密切；2.甲状腺切除术后喉返神经损伤与甲状腺肿瘤性质及手术次数有关；3.甲状腺手术中喉上神经损伤发生率低；4.随访16例声门麻痹患者，大多数（13/16）声音嘶哑因健侧声带代偿而改善。
