摘要
目的 分析探讨超声刀（ultrasonic activated shears,UAS）技术在甲状腺开放手术中的操作和临床效果.方法 筛选2008年5月至2011年5月某院收治并完成甲状腺手术的95例患者资料,进行回顾性病例对照研究,其中50例运用超声刀技术对甲状腺腺体及血管进行切割、止血,为超声刀组.其余45例接受传统结扎、缝合等甲状腺手术,为传统方法的对照组.结果 传统对照组手术平均时间为114（81～184） min, 超声刀组为75（44～131） min；传统对照组术中出血量平均65 （32～ 695） ml,而超声刀组为27（6～ 147） ml；传统方法对照组住院平均天数为4.6（3～7）d,而超声刀组为3.8（2 ～6）d.结论 在甲状腺手术运用超声刀技术除了一些诸如术后平均引流时间较传统方法对照组长10 h、拔管时间延长、费用稍高的缺点外.此技术不仅便于临床操作,还能减少手术时间、术中出血量、术后住院天数.在高难度甲状腺手术中其优势更加体现.因此,在甲状腺开放手术中运用超声刀技术安全、有效.
Objective To analyze the effect and the operative skill of ultrasonic activated shears（UAS） in thyroid surgery.Methods The clinical data of 95 patients who received thyroidectomy in our hospital from May 2008 to May 2011 were retrospectively analyzed.They were divided into two groups,45 patients were given traditional method （control group）,50 patients were given UAS （UAS group）.Results Mean operating time in control group was 114（81-184）min,that in UAS group was 75（44-131） min.Mean quantity of operating bleeding in control group was 65（32-695）ml,that in UAS group was 27（6-147） ml.Mean time of postoperative hospitalization in control group was 4.6（3-7）days,that in UAS group was 3.8（2-6）days.Conclusion It is convenient to master UAS.Compared with conventional method,it can reduce operating time in thyroid surgery,length of incision,quantity of postoperative bleeding and postoperative length of stay.Therefore,it is safe and effective in thyroid open surgey.
出处
《中国基层医药》
CAS
2013年第16期2469-2471,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
超声刀
甲状腺
手术治疗
Ultrasonic activated shears
Thyroid
Operation
