右侧喉不返神经2例
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摘要
目的探讨喉不返神经(NRLN)的解剖特点及变异分型。方法回顾性分析本院收治2例NRLN的临床资料,并复习相关文献。结果本组2例均发生于右侧,术中证实例1为Ⅰ型,直接起源颈部迷走神经主干,与甲状腺上极血管相伴下行入喉;例2为ⅡA型,发自甲状腺下动脉水平迷走神经总干,平行甲状腺下动脉横行入喉。术后均未无NRLN并发症。结论 NRLN临床罕见,以右侧居多,术前难以诊断。术者应熟悉喉不返神经解剖特点及变异分型,避免损伤喉不返神经。
引文
[1]王洵,刘锦峰,石宝玉,等.非返性喉返神经的临床所见及文献回顾[J].中国耳鼻咽喉头颈外科,2014,21(3):116-121.
[2]MAHMODLOU R,AGHASI M R,SEPEHRVAND N.Identifying the non-recurrent laryngeal nerve:preventing a major risk of morbidity during thyroidectomy[J].International Journal of Preventive Medicine,2013,4(2):237-240.
[3]TONIATO A,MAZZAROTTO R,PIOTTO A,et al.Identification of the nonrecurrent laryngeal nerve during thyroid surgery:20-year experience[J].World Journal of Surgery,2004,28(7):659.
[4]万玉柱,吕正华,邹纪东,等.喉不返神经报道[J].中国耳鼻咽喉头颈外科,2013,20(10):557-558.
[5]朱威,吴忠新,周龙翔,等.右侧喉不返神经一例[J].中华内分泌外科杂志,2014,8(1):87-88.
[6]GONG R X,LUO S H,GONG Y P,et al.Prediction of nonrecurrent laryngeal nerve before thyroid surgery--experience with 1825cases[J].Journal of Surgical Research,2014,189(1):75-80.
[7]IACOBONE M,VIEL G,ZANELLA S,et al.The usefulness of preoperative ultrasonographic identification of nonrecurrent inferior laryngeal nerve in neck surgery[J].Langenbecks Archives of Surgery,2008,393(5):633-638.
[8]TATEDA M,HASEGAWA J,SAGAI S,et al.Nonrecurrent inferior laryngeal nerve without vascular anomaly as a genuine entity[J].Tohoku Journal of Experimental Medicine,2008,216(2):133-137.
[9]覃谦,欧阳杰.左侧喉不返神经一例[J].中华普通外科杂志,2008,23(6):418.
[10]NOURELDINE S I,TUFANO R P.The role of intraoperative nerve monitoring in the detection of the nonrecurrent laryngeal Nerve During Thyroid Surgery[J],2014,1(3):1-21.
[11]殷德涛,李红强,王勇飞,等.术中神经监测技术在保护非返性喉返神经中的应用[J].中华内分泌外科杂志,2016,10(4):294-297.
[2]MAHMODLOU R,AGHASI M R,SEPEHRVAND N.Identifying the non-recurrent laryngeal nerve:preventing a major risk of morbidity during thyroidectomy[J].International Journal of Preventive Medicine,2013,4(2):237-240.
[3]TONIATO A,MAZZAROTTO R,PIOTTO A,et al.Identification of the nonrecurrent laryngeal nerve during thyroid surgery:20-year experience[J].World Journal of Surgery,2004,28(7):659.
[4]万玉柱,吕正华,邹纪东,等.喉不返神经报道[J].中国耳鼻咽喉头颈外科,2013,20(10):557-558.
[5]朱威,吴忠新,周龙翔,等.右侧喉不返神经一例[J].中华内分泌外科杂志,2014,8(1):87-88.
[6]GONG R X,LUO S H,GONG Y P,et al.Prediction of nonrecurrent laryngeal nerve before thyroid surgery--experience with 1825cases[J].Journal of Surgical Research,2014,189(1):75-80.
[7]IACOBONE M,VIEL G,ZANELLA S,et al.The usefulness of preoperative ultrasonographic identification of nonrecurrent inferior laryngeal nerve in neck surgery[J].Langenbecks Archives of Surgery,2008,393(5):633-638.
[8]TATEDA M,HASEGAWA J,SAGAI S,et al.Nonrecurrent inferior laryngeal nerve without vascular anomaly as a genuine entity[J].Tohoku Journal of Experimental Medicine,2008,216(2):133-137.
[9]覃谦,欧阳杰.左侧喉不返神经一例[J].中华普通外科杂志,2008,23(6):418.
[10]NOURELDINE S I,TUFANO R P.The role of intraoperative nerve monitoring in the detection of the nonrecurrent laryngeal Nerve During Thyroid Surgery[J],2014,1(3):1-21.
[11]殷德涛,李红强,王勇飞,等.术中神经监测技术在保护非返性喉返神经中的应用[J].中华内分泌外科杂志,2016,10(4):294-297.