医用透明质酸钠预防甲状腺术后粘连90例  

The 186 cases of medical using sodium hyaluronate in preventing the adhesion after thyroid surgery

作　　者：樊华[1] 李建[1] 

机构地区：[1]延安大学附属医院,陕西延安716000

出　　处：《基层医学论坛》2015年第7期871-872,共2页The Medical Forum

摘　　要：目的探讨医用透明质酸钠预防甲状腺术后粘连的临床效果。方法 2006年1月—2014年1月186例甲状腺手术患者,96例未进行医用透明质酸钠用药作为对照组,90例进行医用透明质酸钠用药处理(创面涂抹)作为观察组。术后随访4个月,对2组患者的术后粘连情况进行比较。结果术后4个月内2组患者均未发生切口感染和过敏反应。其中,观察组中发生术后粘连17例,占18.9%;对照组中发生术后粘连40例,占41.7%,2组比较有显著差异(P<0.01)。结论甲状腺术后粘连发病率较高,透明质酸钠能有效降低其发生率,值得临床推广。Objective The aim of the present study is to investigate the clinical utility of sodium hyaluronate in prevention of postoperative adhesions of thyroid.MethodsDecide the thyroid surgery of 2365 cases from 2006-2014 in our hospital. 96 cases were not medical sodium hyaluronate medication,as control group. 90 cases of medical sodium hyaluronatedrug treatment（wound smearing）as the observation group.Patients were followed up for 4 months,compared the proportion of adhesion morbidity of two groups patient.ResultsIn observation group the postoperative adhesion symptoms occurred in 17 cases,accounting for 18.9% of all patients. in control group the adhesion symptoms occurred in 40 cases,accounted for 41.7% of all patients.Compared with the control group,sodium hyaluronate treatment significantly reduced the incidence of thyroid postoperative adhesions（P〈0.01）.ConclusionOur study preliminary explored the preventive effect of sodium hyaluronate in reduce the incidence of postoperative adhesion of thyroid operation.

关 键 词：甲状腺术后 切口粘连 预防 透明质酸钠 

分 类 号：R653[医药卫生—外科学]