Vim qhov hloov pauv tsis zoo ntawm cov thyroid caj pas tsis zoo thiab RLN RLN Kev raug mob rau cov hlab ntsha rov qab tuaj yeem ua rautsis muaj suab nrov (qhoarseness) lossis poob suab (aphonia) thiab ua rau muaj teeb meem hauv kev ua pa. Kev raug mob rau cov hlab ntsha tuaj yeem ua rau tuag tes tuag taw cov leeg tom qab cricoarytenoid ntawm tib sab. https://en.wikipedia.org › wiki › Recurrent_laryngeal_nerve
Recurrent laryngeal paj hlwb - Wikipedia
nws tau hais tias cov hlab ntsha yuav ligated yog ze lossis ntawm nws cov ceg ntoo ntawm cov thyroid capsule. Cov ceg sab hauv ntawm SLN tsis tuaj yeem muaj kev pheej hmoo thaum lub sij hawm thyroidectomy tshwj tsis yog tias cov thyroid caj pas zoo tshaj yog ligated ze.
Koj Ligate superior thyroid nyob qhov twg?
Nws muaj kev nyab xeeb rau ligate superior thyroid artery ze rau tus ncej superior ntawm cov thyroid caj pasli ua tau. Nws yog qhov muaj kev nyab xeeb dua los txheeb xyuas cov ceg ntawm cov hlab ntsha ntawm cov thyroid caj pas thiab tsis txhob ligating lub cev loj xws li feem ntau ntawm cov hlab ntsha superior laryngeal nyob ze rau lub cev loj.
Vim li cas cov hlab ntsha zoo tshaj plaws yuav tsum tau khi ze ze ntawm ciam teb zoo dua ntawm cov thyroid thaum ua haujlwm ntawm nws?
Ntawm txhua sab, sab nraud ntawm cov hlab ntsha zoo tshaj plaws ntawm cov hlab ntsha innervates cov leeg nqaij cricothyroid. Feem ntau, cov hlab ntsha no nyob ze rau lub vascular pedicle ntawm tus ncej superior ntawm cov thyroidlobe uas xav kom cov hlab ntsha yog ligated nrog kev saib xyuas kom tsis txhob raug mob rau nws (Fig. 6) (7).
Yuav ua li cas cov hlab ntsha thaum lub sij hawm phais thyroid?
Feem ntau cov kws phais pom zoo tias kev txheeb xyuas SLN, sib piv rau RLN, yog qhov tsis tsim nyog. Hloov chaw, ligate lub davhlau ya nyob twg ntawm cov hlab ntsha zoo tshaj plaws ntawm cov thyroid caj pas kom ze rau cov thyroid capsulekom tsis txhob ua rau cov hlab ntsha puas tsuaj.
Cov hlab ntsha twg tuaj yeem raug puas tsuaj yooj yim thaum cov thyroid kab mob siab tshaj plaws yog ligated?
Cov ceg sab nraud ntawm cov hlab ntsha zoo tshaj plaws (EBSLN) muaj kev pheej hmoo ntawm kev raug mob thaum lub sij hawm cov thyroid ua haujlwm thaum txiav ntawm tus ncej superior thiab ligation ntawm superior thyroid hlab ntsha (STV) raug ua. Tus nqi ntawm kev raug mob rau cov hlab ntsha no yog qhov sib txawv heev hauv cov ntaub ntawv, tab sis tuaj yeem siab li 58% (1).
