超声刀在伴明显粘连、充血的开放性甲状腺手术中的应用  

Application of ultrasonically activated scalpel in open thyroid Surgery with adhesion and obviously hyperemia

作　　者：陈居敏[1] 贾铃[1] 杨昆宪[1] 杨净渝[1] 牛恒[1] 

机构地区：[1]云南省第一人民医院,650032

出　　处：《中国医学创新》2009年第12期21-22,共2页Medical Innovation of China

摘　　要：目的总结超声刀在伴明显粘连、充血的开放性甲状腺手术的临床应用。方法收集笔者所在科室同一手术小组完成的伴粘连、充血的甲状腺手术76例，包括34例超声刀手术和42例传统手术。比较两组的手术时间、术中出血量、术后住院时间、住院费用及并发症情况。结果手术时间分别为：超声刀组（80．15±15．74）min，传统组（122．74±23．99）min，平均缩短约（42．59±4．78）min；术中出血量分别为：超声刀组（99．12±16．26）ml，传统组（166．55±17．75）ml，平均减少（67．43±3．94）ml，两组差异有统计学意义（P〈0．001），其余各项指标比较均无统计学差异（P〉0．05）。结论应用超声刀进行伴粘连、充血的开放性甲状腺手术安全可靠，可以明显缩短手术时间，减少术中失血量。Objective To investigate the use of ultrasonically activated scalpel （UAS） in open thyroid surgery with adhesion and obviously hyperemia. Methods Thyroideetomy were performed in 76 eases by the same operation team. Thirty four cases received UAS thyroideetomy and 42 eases underwent conventional thyroidectomy. The operation time, estimated blood loss in operation,the length of hospitalization and postoperative complications between two groups were compared. Results The average operation time in the UAS group were （80.15±15.74） minutes,and in conventional group were （ 122.74 ± 23.99） minutes. The average estimated blood loss in operation in the UAS group were （99.12 ± 16.26 ） ml, and in conventional group were （166.55 ± 17.75 ） ml. There was a signifieant difference in average＇operation time （P 〈 0.001 ）, but there were no significant difference in the length of hospitalization and postoperative complications between the two groups （ P 〉 0. 05）. Conclusion The use of UAS in thyroid surgery was safe and can reduce the operation time, reduce the quantity of blood loss.

关 键 词：甲状腺切除术 超声刀 应用 

分 类 号：R651[医药卫生—外科学] R653[医药卫生—临床医学]