内镜辅助超声刀在甲状腺腺瘤次全切除手术中的临床疗效观察  

Observation on clinical effect of ultracision-harmonic scalpel applied in thyroid adenoma inferior total excision surgery

作　　者：张玉莲[1] 周晓红[1] 何云[1] 葛家华[1] 李真华[1] 杨鑫[1] 

机构地区：[1]重庆市肿瘤研究所头颈外科,重庆400030

出　　处：《重庆医学》2010年第23期3178-3179,共2页Chongqing medicine

摘　　要：目的比较内镜辅助超声刀与传统手术方式在甲状腺腺瘤次全切除手术中的效果。方法将792例甲状腺腺瘤患者按随机数字表分为A组201例术中采用手术刀、B组185例术中采用电刀、C组192例术中采用超声刀、D组214例术中采用内镜辅助超声刀。比较4组患者手术中、术后情况。结果 D组在减少术中出血量、缩短手术时间及手术切口长度、减少术后引流液量等方面较其他组效果明显,差异有统计学意义(P<0.05);D组的喉返神经损伤例数少于其他组。结论内镜辅助超声刀在甲状腺腺瘤切除手术中的术中出血量、手术时间、切口长度、术后引流液量、喉返神经损伤情况比传统手术方式具有更好的疗效。Objective To explore the effect of ultrasound knife aid with endoscope compare to traditional way on thyroid gland total resect surgery.Methods A total of 792 selected patients with thyroid adenoma were divided by random digits table into group A use scalpel（n=201）、group B use electrome（n=185）、group C use ultrasound knife（n=192）、and group D use ultrasound knife aid with endoscope（n=214）.To compare the condition on prior-surgery and post-surgery of the four groups.Results The group D have the better effect than the other group in decreasing the volume of bleeding in surgery,which shewed statistical significance（P〈0.001）;The group D have the better effect than the other group in shorting the time of surgery,which shewed statistical significance（P〈0.001）;The group D have the better effect than the other group in shorting the length of operative incision,which shewed statistical significance（P〈0.001）;The group D have the better effect than the other group in decreasing the volume of draining fluid on post-surgery,which shewed statistical significance（P〈0.001）;The group D have the less number of laryngeal nerve injury than the other group,which shewed statistical significance（P〈0.001）.Conclusion Compared with the traditional way on thyroid gland total resect surgery,to use ultrasound knife aid with endoscope have the better effect in the volume of bleeding in surgery、the time of surgery、the length of operative incision、the volume of draining fluid on post-surgery and the number of laryngeal nerve injury.

关 键 词：内镜 超声刀 甲状腺腺瘤 

分 类 号：R736.1[医药卫生—肿瘤]