👨‍⚕️ Dr. Boss 的一般外科衛教室。第五篇：甲狀腺手術後會沙啞嗎？

👨‍⚕️ Dr. Boss 的一般外科衛教室 👨‍⚕️ Dr. Boss’s General Surgery Health Classroom 🦋 第五篇：甲狀腺手術後會沙啞嗎？ 🦋 Part 5: Will My Voice Become Hoarse After Thyroid Surgery? --- 📌 一、為什麼手術會影響聲音？ 📌 1. Why Can Thyroid Surgery Affect the Voice? 中文： 甲狀腺位於氣管前方， 旁邊有一條非常重要的神經 —— 返喉神經。 這條神經負責控制聲帶活動。 如果受到影響，就可能出現聲音沙啞。 English: The thyroid gland sits in front of the trachea. Nearby runs a critical nerve — the recurrent laryngeal nerve. This nerve controls vocal cord movement. If affected, voice hoarseness may occur. --- 📌 二、沙啞一定是神經受損嗎？ 📌 2. Does Hoarseness Always Mean Nerve Damage? 中文： 不一定。 術後短暫沙啞可能來自： ✔ 插管刺激 ✔ 組織水腫 ✔ 暫時性神經牽拉 多數會在數週內恢復。 English: Not necessarily. Temporary hoarseness after surgery may result from: ✔ Intubation irritation ✔ Tissue swelling ✔ Temporary nerve stretching Most cases recover within weeks. --- 📌 三、永久性沙啞的機率高嗎？ 📌 3. Is Permanent Hoarseness Common? 中文： 在經驗豐富的醫師操作下， 永久性神經損傷的機率很低。 通常小於 1–2%。 English: With experienced surgeons, the risk of permanent nerve injury is low — typically less than 1–2%. --- 📌 四、醫師如何保護聲帶神經？ 📌 4. How Do Surgeons Protect the Nerve? 中文： ✔ 手術中辨識返喉神經 ✔ 使用神經監測儀器 ✔ 精細解剖操作 English: ✔ Identifying the recurrent laryngeal nerve during surgery ✔ Using intraoperative nerve monitoring ✔ Performing meticulous surgical dissection --- 📌 五、術後要注意什麼？ 📌 5. What Should Patients Watch For After Surgery? 中文： ✔ 聲音明顯沙啞超過數週 ✔ 說話容易疲累 ✔ 吞嚥嗆咳 若有以上情況，應回診評估。 English: ✔ Persistent hoarseness beyond several weeks ✔ Voice fatigue ✔ Choking when swallowing If these occur, follow-up evaluation is recommended. --- 🌿 Dr. Boss 總結 🌿 Dr. Boss Summary 中文： ✔ 多數沙啞是暫時性的 ✔ 永久性神經損傷機率低 ✔ 選擇熟悉甲狀腺手術的醫師很重要 English: ✔ Most hoarseness is temporary ✔ Permanent nerve injury is uncommon ✔ Choosing an experienced thyroid surgeon is important