FOCUS超声刀与直型双极电凝镊在甲状腺肿瘤全程精细化解剖中的应用比较  

Comparison of the application of FOCUS ultrasonic knife and straight bipolar electrocoagulation forceps in thyroid tumor whole process fine anatomy

作　　者：徐玉林[1] XU Yulin(Department of Thyroid Surgery,Bozhou People’s Hospital,Anhui Province,Bozhou236800,China)

机构地区：[1]安徽省亳州市人民医院甲状腺外科,安徽亳州236800

出　　处：《中国医药导报》2021年第8期110-113,共4页China Medical Herald

摘　　要：目的比较FOCUS超声刀与直型双极电凝镊在甲状腺肿瘤全程精细化解剖中的应用效果。方法回顾性分析2016年6月—2020年1月于安徽省亳州市人民医院接受甲状腺手术治疗的100例患者诊疗情况,所有患者均采用全程精细化解剖方法,按照术中器械使用不同将其分为超声刀组和双极电凝组,每组各50例。比较两组围术期情况、血清甲状旁腺激素(PTH)、Ca2+水平变化及术后并发症发生率。结果双极电凝组切口长度、术中出血量、术后术区引流量均小于超声刀组,手术时间、住院时间均短于超声刀组,差异均有统计学意义(均P<0.05)。整体分析发现:血清PTH、Ca2+水平组间比较、时间点比较及交互作用,差异均有统计学意义(均P<0.05)。组内比较:两组术后1、3、7 d,血清PTH、Ca2+水平均较术前降低,差异均有统计学意义(均P<0.05);组间比较:术后1、3、7 d,双极电凝组血清PTH、Ca2+水平均高于超声刀组,差异均有统计学意义(均P<0.05)。双极电凝组术后并发症总发生率低于超声刀组,差异有统计学意义(P<0.05)。结论直型双极电凝镊应用于甲状腺肿瘤全程精细化解剖中效果更加显著,值得应用推广。Objective To compare the application effect of FOCUS ultrasonic knife and straight bipolar electrocoagulation forceps in thyroid tumor whole process fine anatomy.Methods Retrospective analysis was performed on the diagnosis and treatment of 100 patients who received thyroid surgery in Bozhou People’s Hospital,Anhui Province from June 2016 to January 2020.All patients were treated with the method of whole process fine anatomy and they were divided into ultrasonic knife group and bipolar electrocoagulation group according to the different use of intraoperative instruments,with 50 cases in each group.Perioperative conditions,changes in serum parathyroid hormone(PTH),Ca2+levels and incidence of postoperative complications were compared between the two groups.Results The incision length,intraoperative blood loss and postoperative drainage volume of the operative area in the bipolar electrocoagulation group were lower than those in the ultrasonic knife group,and the duration of operation and hospital stay were shorter than those in the ultrasonic knife group,and the differences were statistically significant(all P<0.05).Overall analysis showed that there were statistically significant differences in serum PTH and Ca2+levels between groups,time point comparison and interaction(all P<0.05).Intra-group comparison:1,3 and 7 days after surgery,serum PTH and Ca2+levels were lower than those before surgery in both groups,and the differences were statistically significant(all P<0.05).Comparison between groups:at 1,3 and 7 days after surgery,serum PTH and Ca2+levels in bipolar electrocoagulation group were higher than those in ultrasonic knife group,and the differences were statistically significant(all P<0.05).The total incidence of postoperative complications in the bipolar electrocoagulation group was lower than that in the ultrasonic knife group,and the difference was statistically significant(P<0.05).Conclusion Straight bipolar electrocoagulation forceps is more effective in thyroid tumor whole process fine anatomy,which

关 键 词：甲状腺肿瘤 精细化解剖 FOCUS超声刀 直型双极电凝镊 并发症 

分 类 号：R736.1[医药卫生—肿瘤]