超声刀FOCUS在开放性甲状腺手术中的应用  

Application of Harmonic Scalpel(FOCUS)in Open Thyroid Surgery

作　　者：杨熙鸿[1] 彭汉伟[1] 刘木元[1] 徐敏[1] 

机构地区：[1]汕头大学医学院附属肿瘤医院头颈科,广东汕头515041

出　　处：《汕头大学医学院学报》2010年第1期42-44,47,共4页Journal of Shantou University Medical College

摘　　要：目的:探讨超声刀FOCUS在开放性甲状腺手术中的应用价值和操作技巧。方法:超声刀FOCUS完成甲状腺手术63例(超声刀组),传统电刀处理67例(电刀组);观察两组手术切口大小、手术出血量、手术时间、术后吞咽疼痛持续时间、术后引流量、住院时间及术后并发症。结果:除手术切口大小两组无统计学意义外,超声刀组的平均手术出血量、手术时间、术后引流量、术后患者吞咽疼痛持续时间以及住院时间与电刀组比均有统计学意义(P<0.05),两组术后并发症无统计学意义。结论:超声刀FOCUS在开放性甲状腺手术中能显著减少术中出血量、明显缩短手术时间和减轻术后局部反应,且不增加术后并发症,值得临床推广。Objective： To investigate the value and use of skills of ultrasonic scalpel（FOCUS）in open thyroid surgery. Methods： One hundred and thirty patients who underwent unilateral thyroid gland lobectomy were divided randomly into conventional group（ n =67）and harmonic scalpel（HS）group（ n =63）. Incision size, operation time, blood loss, postoperative drainage volume, postoperative swallowing pain, hospitalization time, complications such as bleeding, infection, transient or permanent hypocalcaemia and transient or permanent recurrentlaryngeal nerve palsy were recorded. Results： There were significandy differences between two groups in operation time, blood loss, drainage volume, time of postoperative swallowing pain and hospitalization（ P 〈 0.05）. There was no any significantly difference in complications between two groups. Conclusion： Use of HS in open thyroid surgery can decrease operation time, blood loss and postoperative local reactions, and does not increase postoperative complications, worthy to be popularized.

关 键 词：甲状腺肿瘤 甲状腺手术 超声刀 FOCUS超声刀头 

分 类 号：R608[医药卫生—外科学]