超声刀FOCUS在开放性甲状腺手术中的应用  

The Value of Ultrasonic Scalpel FOCUS in Open Thyroid Surgery

作　　者：王锡宏[1] 马小鹏[1] 孔源[1] 吴德林[1] 

机构地区：[1]安徽省立医院普外科,合肥230001

出　　处：《中国现代手术学杂志》2012年第5期339-341,共3页Chinese Journal of Modern Operative Surgery

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。方法回顾性分析2011年1月至2011年9月完成的甲状腺手术187例的临床资料,其中利用超声刀FOCUS对甲状腺腺体及血管进行切割、止血的有102例(超声刀组),采用电刀、以及传统结扎、缝合手术的病例有85例(传统组)。观察两组的手术出血量、手术时间、术后引流量及术后并发症。结果超声刀组与电刀组比较,手术出血量为(13.2±4.5)ml VS(22.8±7.3)ml,切除甲状腺手术时间为(26.8±5.2)min VS(38.2±6.1)min,手术切口长度为(38.4±7.5)mm VS(52.8±9.5)mm,均有统计学意义(P<0.05),术后引流量的比较无统计学意义(P>0.05),分别为(40.7±6.4)ml VS(35.3±5.6)ml,术后并发症声嘶、低钙麻木的发生率,分别为3.9%(4/102)VS 3.5%(3/85)和6.9%(7/105)VS 7.1%(6/85),两组比较均无统计学差异(P>0.05)。结论在开放性甲状腺手术中应用超声刀FOCUS能明显减少术中出血量以及缩短手术时间,超声刀在甲状腺手术中具有较好的临床应用价值。Abstract： Objective To investigate the values of ultrasonic scalpel FOCUS in the open thyroid surgery. Methods A retrospective analysis was performed on 187 underwent with thyroid surgery from January 2011 to September 2011, in which 102 patients （ultrasonic scalpel group） were treated by ultrasonic scalpel FOCUS; the other 85 cases （traditional group） were used electric knife and traditional ligation. Results It showed signifi- cant difference （P 〈 O. 05 ） between the ultrasonic scalpel group and the traditional group in the indexes of the in- traoperative bleeding , which was （ 13.2 ＋ 4.5） ml VS （22.8 ＋ 7.3 ） ml, the thyroidectomy operation time, which was （26.8 ±5.2） min VS （38.2 ±6.1） min and the length of operative incision, which was （38.4 ±7.5） rmn VS （52.8 ±9.5） mm. But the other three indexes had no significant difference （P 〉0.05）, which was postoper, ative drainage, （40.7 ±6.4） ml VS （35.3 ±5.6） ml,postoperative hoarseness rate, 3.9% （4/102） VS 3.5% （3/85） and the low calcium paralysis rate, 6.9% （7/105） VS 7.1% （6/85）. Conclusion FOCUS ultra- sonic scalpel in open thyroid surgery can significantly reduce blood loss and operative time without increasing the postoperative complications.

关 键 词：甲状腺手术 超声刀 

分 类 号：R653[医药卫生—外科学]