摘要
目的探讨采用超声刀进行甲状腺手术的临床效果。方法选择在我院进行手术治疗的甲状腺疾病患者186例,随机分为研究组和对照组各93例,研究组采用超声刀进行手术治疗,对照组采用传统方法进行治疗。结果研究组切口长度、平均手术时间、术中出血量、术后引流量、术后住院时间、术后VAS评分结果与对照组比较,差异有显著统计学意义(P<0.01)。研究组术后并发症少于对照组(P<0.05)。随访3个月,研究组切口粘连、颈部麻木、颈部疼痛、吞咽不适及皮下结节例数少于对照组(P<0.05或P<0.01)。两组不同手术方式喉返神经损伤的例数差异无统计学意义(P>0.05)。结论超声刀用于开放性甲状腺切除手术,可以减少手术对患者的创伤,且不增加喉返神经损伤情况,值得临床推广。
Objective To explore the clinical efficacy of application of ultrasonic scalpel in thyroidectomy. Methods All of 186 cases with thyroid disease under surgical therapy were divided randomly into study group and control group （each 93 cases）. Study group was treated with ultrasonic scalpel, and control group was treated by traditional surgeries. Results Incision lengths, operating time, peri-operative bleeding, total volume of drainage after operation, hospital stays after operation, VAS had significant differences between two groups （P 〈 0.05）. Complications of study group was less than control group （P 〈 0.05）. Follow-up three months, incision adhesion, neck numb, neck pain, swallowing discomfort and subcutaneous nodules of study group were less than control group （P 〈 0.05）. Injury of recurrent laryngeal nerve of two groups in different surgical procedures had no significant difference （P 〉 0.05）. Conclusion Application of ultrasonic scalpel in thyroidectomy can decrease the trauma of patients, without increasing injury of recurrent laryngeal nerve, worthy of clinical application.
出处
《中国现代医生》
2012年第17期45-47,共3页
China Modern Doctor
关键词
甲状腺切除术
超声刀
喉返神经损伤
Thyroidectomy
Ultrasonic scalpel
Injury of recurrent laryngeal nerve
