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甲状腺腺瘤常以手术治疗,术中瘤体分离不当或止血不彻底易造成声嘶,采用有效方法积极治疗,可收到良好效果。本文就35例甲状腺手术后2例声嘶治疗报告如下。例1女,35岁。颈前无痛性肿物渐增大5年,右侧颈部5×5cm肿物,诊为甲状腺腺瘤。查血常规、血小板计数及出凝血时均正常,于局麻下行右甲状腺腺瘤摘除术。术中发音正常,5天伤口愈合出院。术后第8天出现声嘶,发音困难,间接喉镜见右侧声带外展位麻痹。至术后75天恢复正常发音,右声带恢复运动至正中位。
Thyroid adenoma often surgery, intraoperative tumor separation or hemostasis is not completely easy to cause hoarseness, the use of effective methods of active treatment, can receive good results. In this paper, 35 cases of thyroid surgery after 2 cases of hoarseness reported as follows. Example 1 Female, 35 years old. Painless neck anterior enlargement 5 years, the right neck 5 × 5cm tumor, diagnosed as thyroid adenoma. Check the blood routine, platelet count and coagulation are normal, under local anesthesia right thyroid adenoma enucleation. Intraoperative pronunciation is normal, 5 days wound healing and discharge. On the 8th day after operation, there was hoarseness and difficulty in pronunciation. The indirect vocal laryngoscopy showed paralysis of the right vocal cord abduction site. To 75 days after the return to normal pronunciation, right vocal cord recovery exercise to the median.