超声刀在开放性小切口甲状腺手术中的应用  

Application of Ultrasound Scalpel in Open Thyroid Surgery with Minimal Incision

作　　者：周宏[1] 余启文[1] 罗光辉[1] 

机构地区：[1]广东省江门市新会区人民医院普外科,广东江门529100

出　　处：《河北医学》2010年第7期832-834,共3页Hebei Medicine

摘　　要：目的:评价超声刀在开放性小切口甲状腺手术中的可行性和应用价值。方法:将2008年1月至2009年12月我院行开放性甲状腺手术193例的甲状腺良性疾病患者随机分为试验组97例和对照组96例,试验组应用超声刀行小切口手术,对照组用常规器械行传统切口手术。比较两组切口长度、手术时间、术中出血量、术后引流量、手术并发症及术后住院日数。结果:两组患者在性别、年龄、疾病构成以及肿瘤大小方面差异无统计学意义(P>0.05),试验组切口长度、手术时间、术中出血量和术后引流量均显著少于对照组(P<0.001),两组手术并发症及术后住院日差异无统计学意义(P>0.05)。结论:较传统方法手术相比,超声刀开放性小切口甲状腺手术能显著缩短切口长度及手术时间、减少术中出血及术后渗出。Objective：To evaluate the feasibility and efficacy of ultrasound scalpel in open thyroid surgery with minimal incision.Method： 193 cases with benign thyroid disease underwent open thyroid surgery from Jan.2008 to Dec.2009.They were divided into test group（n=97） and control group（n=96） in random.The patients in test group were treated with ultrasound scalpel;those in control group were treated with conventional hemostasis.The incisional length,the total operative time,intraoperative bleeding volume,postoperative drainage volume,surgical complications and the days of hospitalization were compared between two groups.Result： There was no significantly different in gender,age,constituent ratio of diseases and volume of nodule between two groups（P0.05）.The incisional length,the total operative time,intraoperative bleeding volume,postoperative drainage volume in test group were less than those in control group（P0.001）.There was no significantly different in surgical complications and the days of hospitalization between two groups（P0.05）.Conclusion： Ultrasound scalpel in open thyroid surgery with minimal incision is superior to conventional hemostasis.It can significantly shorten the length of the surgical incision and operative time,reduce intraoperatie bleeding and postoperative exudate.

关 键 词：超声刀 甲状腺疾病 手术治疗 

分 类 号：R653[医药卫生—外科学]