FOCUS超声刀在复杂甲状腺开放手术中的应用价值  

Application value of FOCUS harmonic scalpel in complex open thyroidectomy

作　　者：郑建[1] 卢秀波[1] 刘洋[1] 樊玉霞[1] 刘征[1] 王晓明[1] 袁青领[1] 

机构地区：[1]郑州大学第一附属医院甲状腺外科,郑州450052

出　　处：《郑州大学学报（医学版）》2015年第2期285-289,共5页Journal of Zhengzhou University(Medical Sciences)

摘　　要：目的:探讨FOCUS超声刀在复杂甲状腺开放手术中的应用价值。方法:回顾性分析2013年1月至2014年1月收治的465例复杂甲状腺开放手术患者的临床资料,根据是否使用FOCUS超声刀分为超声刀组(330例)和传统组(135例)。比较2组的术中出血量、术后24 h引流量、手术时间、术后并发症发生率及住院时间。结果:超声刀组与传统组相比,术中出血量、术后24 h引流量减少,手术时间、住院时间缩短(t=26.278、22.752、23.715、14.394,P均<0.001);术后出血、一过性声音嘶哑、一过性饮水呛咳、暂时性低钙麻木或抽搐的发生率均降低(P均<0.05)。结论:FOCUS超声刀在复杂甲状腺开放手术中能明显减少术中出血量、缩短手术时间和减少术后并发症的发生,具有显著优势。Aim：To study the application value of FOCUS harmonic scalpel in complex open thyroidectomy .Methods：A total of 465 cases who were to undergo complex open thyroidectomy were divided into FOCUS group （330 cases） and tradi-tion group（135 cases）.The intraoperative bleeding volume, postoperative draining volume,the operation time, postoperative complications and the hospital stay after surgery of the two groups were compared .Results：Compared with tradition group , intraoperative bleeding volume , postoperative draining volume , the operation time and the hospital stay after surgery in FO-CUS group reduced（t=26.278,22.752,23.715,14.394,P〈0.001）.The rates of postoperative bleeding ,postoperative transi-ent hoarseness , temporary drinking water choking cough , and temporary low calcium causing numbness or convulsions de-creased in FOCUS group（P〈0.05）.Conclusion：FOCUS harmonic scalpel in complex open thyroidectomy has a clear ad-vantage in intraoperative bleeding volume , the operation time , and postoperative complications after surgery .

关 键 词：FOCUS超声刀 复杂甲状腺开放手术 

分 类 号：R653[医药卫生—外科学]