超声刀在小切口甲状腺手术中的应用价值  

Value of Harmonic Scalpel in Mini-incision Thyroid Surgery

作　　者：陈峰[1] 王瑞娟[1] 林强[1] 

机构地区：[1]福建省立医院基本外科,福州350001

出　　处：《中国微创外科杂志》2011年第6期532-533,550,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨超声刀在低位小切口甲状腺手术中的应用价值。方法 2008年1月~12月对75例甲状腺良性疾病行开放性小切口（2~3 cm）甲状腺切除术,术中利用冷光源拉钩作为光源兼拉钩,超声刀处理甲状腺血管和腺体。结果平均手术时间70 min（40~135 min）,术中平均出血量15 ml（5~20 ml）。术后24 h平均切口引流量25 ml（10~50ml）。无出血、神经、甲状旁腺损伤及其他并发症。75例术后平均随访16个月（14~18个月）,未见病变复发、甲状腺功能减低。结论冷光源拉钩辅助下超声刀应用于开放性小切口甲状腺切除,可以方便手术操作,止血效果可靠。Objective To explore the value of harmonic scalpel（HS） in low mini-incision thyroid surgery.Methods From January 2008 to December 2008,75 cases of thyroid diseases underwent open mini-incision（2-3 cm） thyroid surgery by using cold-light-source retractor.We used HS to deal with the blood vessels and thyroid gland.Results The mean operation time was 70 min（40-135 min）,and mean intraoperative blood loss was 15 ml（5-20 ml）.In 24 hours postoperation,the mean incisional drainage ranged from 10 to 50 ml（mean,25 ml）.No patients had hemorrhage,neural injury or injury to the parathyroid.75 patients were followed up for 16 months（14-18 months）,during which no recurrence or hypothyroidism occurred.Conclusion With cold-light-source retractor,HS can facilitate mini-incision thyroid surgery,and is reliable in hemostasis.

关 键 词：超声刀 冷光源拉钩 甲状腺疾病 

分 类 号：R653[医药卫生—外科学]