中国患者喉返神经的解剖变异：一项对2404例患者的前瞻性研究
Anatomical variations of the recurrent laryngeal nerve in Chinese patients: a prospective study of 2,404 patients.
作者信息
Shao Tanglei, Qiu Weihua, Yang Weiping
机构信息
Department of General Surgery, Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200025, China.
出版信息
Sci Rep. 2016 May 5;6:25475. doi: 10.1038/srep25475.
The recurrent laryngeal nerve (RLN) shows some anatomical variations that can potentially compromise the safety of thyroid surgery. The purpose of this prospective study was to identify the anatomical variations of the RLN in Chinese patients undergoing thyroid surgery. Between January 2007 and December 2013, 2,404 Chinese patients were hospitalized for thyroid surgery with dissecting of the RLN unilaterally or bilaterally. The patients consisted of 510 men and 1,894 women, with a median age of 45.0 years. Overall 3,275 RLNs, including 1,576 left- and 1,699 right-side nerves, were dissected. The anatomical variations were identified in 690 RLNs, including 305 left- and 385 right-side nerves. We identified as many as seven RLN anatomical variations in Chinese patients. These findings indicate that anatomical variations of the RLN are common, and the identification of these anatomical variations of the RLN can help to minimize the risk of post-operative RLN paralysis.
喉返神经（RLN）存在一些解剖变异，这可能会对甲状腺手术的安全性构成潜在威胁。这项前瞻性研究的目的是确定接受甲状腺手术的中国患者中喉返神经的解剖变异情况。在2007年1月至2013年12月期间，2404例中国患者因甲状腺手术住院，并对单侧或双侧喉返神经进行了解剖。患者包括510名男性和1894名女性，中位年龄为45.0岁。总共解剖了3275条喉返神经，其中包括1576条左侧神经和1699条右侧神经。在690条喉返神经中发现了解剖变异，其中包括305条左侧神经和385条右侧神经。我们在中国患者中发现了多达七种喉返神经解剖变异。这些发现表明，喉返神经的解剖变异很常见，识别这些喉返神经的解剖变异有助于将术后喉返神经麻痹的风险降至最低。
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