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[甲状腺切除术后晚期随访中喉返神经麻痹]

[Paralyses of the recurrent laryngeal nerve following strumectomy in late follow-up].

作者信息

Kull C, Breu M, Hoffmann M, Rittmann W W

出版信息

Helv Chir Acta. 1989 Jan;55(5):545-8.

PMID:2715019
Abstract

Over a period of 5 years, 323 patients underwent an operation on a goiter. A postoperative paralysis of the recurrent laryngeal nerve occurred in 31 patients, most in malignancies and recurrent goiters. 26 patients were controlled at least 1 year after operation. 65% of the patients have a fully recovered voice and normal vocal cord function. Another 14% showed a normal voice for daily use by functional compensation of the paralysis. Only in 4 patients (16%) the operation resulted in a permanent modest or severe hoarseness as consequence of a thyroidectomy in cancer.

摘要

在5年的时间里,323例患者接受了甲状腺肿手术。31例患者术后发生喉返神经麻痹,大多数发生在恶性肿瘤和复发性甲状腺肿患者中。26例患者术后至少接受了1年的随访。65%的患者声音完全恢复,声带功能正常。另外14%的患者通过麻痹的功能代偿,日常发声正常。仅4例患者(16%)因癌症甲状腺切除术后导致永久性中度或重度声音嘶哑。

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1
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2
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