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本文报告１５５７例涉及喉返神经的甲状腺肿瘤手术。术中提倡暴露喉返神经，但对于双侧或巨大肿瘤及甲状腺癌侵犯神经者，可区别对待。本组采用三个解剖标志寻找喉返神经，神经麻痹率：良性肿瘤与恶性肿瘤分别为２．３％和９．８％；首次手术与再次手术分别为３．９％和１０．５％。两组差异均有显著性（Ｐ＜０．０１）。术中发现误断神经应及时行神经吻合术，本组成功率为５５．５％（５／９）。
This article reports 1557 cases of thyroid tumor surgery involving the recurrent laryngeal nerve. The recurrent laryngeal nerve is advocated during surgery, but it can be treated differently for patients with bilateral or large tumors and thyroid cancer invading the nerves. The group used three anatomical landmarks to search for recurrent laryngeal nerves. The rate of nerve paralysis was 2.3% for benign tumors and 9.8% for malignant tumors. The first operation and reoperation were 3.9% and 10.5%, respectively. There was significant difference between the two groups (P<0.01). A nerve anastomosis should be promptly performed during the surgery. The power of this component is 55.5% (5/9).