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甲状腺切除术后喉返神经麻痹的发生率。长期结果(作者译)

[Incidence of recurrent nerve palsy after strumectomy. Long term results (author's transl)].

作者信息

Hockauf H, Sailer R

出版信息

Laryngol Rhinol Otol (Stuttg). 1980 Apr;59(4):250-4.

PMID:7442410
Abstract

During the last years all 1713 patients which for different causes underwent strumectomy were controlled by the laryngologist before and after the operation. In 147 cases an unilateral recurrent nerve palsy resulted, in 22 patients both vocal cords were paralysed. Out of these 169 patients we could follow up 63 patients, which were examined after one year. In 28 patients with postoperatively complete paresis of one vocal cord 23 showed recovery and normal function while in two patients a markedly reduced motility was present. Out of the 22 cases which postoperatively had both recurrent nerves injured 10 could be checked one year later. In three patients any vocal cord movement was still absent, in three patients one vocal cord showed normal function again and only in one case both vocal cords revealed normal physiological mobility. Three other patients demonstrated a reduced but market mobility of one vocal cord. The results are discussed in relation to the clinical and histological datas.

摘要

在过去几年中,1713例因各种原因接受甲状腺切除术的患者在手术前后均由喉科医生进行检查。147例出现单侧喉返神经麻痹,22例双侧声带麻痹。在这169例患者中,我们对63例进行了随访,在术后一年对其进行了检查。在28例术后单侧声带完全麻痹的患者中,23例恢复且功能正常,2例患者存在明显的活动度降低。在术后双侧喉返神经均受损的22例患者中,10例在一年后接受了检查。3例患者仍无任何声带活动,3例患者一侧声带再次显示正常功能,仅1例双侧声带显示正常生理活动度。另外3例患者一侧声带活动度降低但仍有明显活动。结合临床和组织学数据对结果进行了讨论。

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