超声刀甲状腺癌再次手术与传统手术的比较  

Comparison Between Conventional Thyroid Surgery and Ultrasonic Scalpel in the Reoperation for Thyroid Cancer

作　　者：许志亮[1] 王冠楠[1] 姚峰[1] 涂毅[1] 孙圣荣[1] 

机构地区：[1]武汉大学人民医院乳腺甲状腺外科,湖北武汉430060

出　　处：《武汉大学学报（医学版）》2013年第4期609-611,共3页Medical Journal of Wuhan University

摘　　要：目的:探讨超声刀行"中间入路"甲状腺手术对于甲状腺癌再次手术的效果。方法:收集使用超声刀行甲状腺癌再次手术45例,与同期传统甲状腺癌再次手术45例进行比较。结果:两组间年龄、体重、肿瘤的特征均无统计学差异(P>0.05),超声刀甲状腺癌再次手术组手术时间及术中出血量较传统手术组减少(P<0.01),提高了手术效率;超声刀甲状腺癌再次手术组所需手术切口长度较传统手术组缩短(P<0.01),超声刀甲状腺癌再次手术组术后引流量及住院天数较传统手术组减少(P<0.01),且减轻了患者的疼痛,促进了患者的恢复。结论:超声刀甲状腺手术可有效解除甲状腺固定,提高手术效率,是一种安全可行、创伤较小、疼痛较轻、美容效果较好的手术方式。适宜于甲状腺癌再次手术中运用。Objective. To investigate the effects of the new surgical approach in middle route with ultra- sonic scalpel in the reoperation of thyroid cancer. Methods. The clinical data of 45 thyroid reoper- ation cases with ultrasonic scalpel were compared with that of another 45 cases who received con- ventional thyroid surgery in the same period. Results. There was no statistical difference between the two groups in age, weight, and tumor characteristics （P〈0.05）. The operation time and the amount of bleeding in ultrasonic scalpel group were less than in conventional group （both P〈 0.01）. The length of incision in ultrasonic scalpel group was shorter than in conventional group （P〈0.01）. The postoperative drainage and hospitalization days of the ultrasonic scalpel group were both less （P〈0.01）. Conclusion. The new surgical approach in middle route with ultrason- ic scalpel is a kind of safe and reliable operation method which make the reoperation of thyroid cancer much more effective.

关 键 词：超声刀 甲状腺 甲状腺癌再次手术 

分 类 号：R653[医药卫生—外科学]