超声刀在开放性甲状腺手术中的应用价值研究  

Application Value of Ultrasound Knife in Open Thyroid Surgery

作　　者：张华[1] ZHANG Hua(Department of General SurgeryⅡ,Linzi District Maternal and Child Health Hospital(Qidu Hospital),Zibo 255400,Shandong,China)

机构地区：[1]临淄区妇幼保健院(齐都医院)普外二科,山东淄博255400

出　　处：《世界复合医学（中英文）》2024年第7期71-74,共4页World Journal of Complex Medicine

摘　　要：目的探究超声刀在开放性甲状腺手术中的作用。方法选取2022年5月—2023年8月于临淄区妇幼保健院(齐都医院)行开放性甲状腺手术的86例患者为研究对象,按手术器械的不同分为对照组(n=43)、研究组(n=43)。两组均行开放性甲状腺手术,对照组术中使用传统电刀,研究组使用超声刀。对比两组手术指标、并发症发生率及住院时间。结果研究组手术时间、术中出血量、术后24 h引流量、切口长度均少于对照组,差异有统计学意义(P均<0.05)。研究组并发症发生率为2.33%(1/43),低于对照组的13.95%(6/43),差异有统计学意义(χ^(2)=3.888,P<0.05)。研究组住院时间短于对照组,差异有统计学意义(P<0.05)。结论开放性甲状腺手术中应用超声刀手术指标较优,并发症风险较低,有助于患者术后康复。Objective To explore the role of ultrasonic knife in open thyroid surgery.Methods A total of 86 patients who underwent open thyroid surgery in Linzi District Maternal and Child Health Hospital(Qidu Hospital)from May 2022 to August 2023 were selected as the research objects.According to different surgical instruments,they were divided into control group(n=43)and study group(n=43).Both groups underwent open thyroid surgery.The control group used traditional electric knife during the operation,and the study group used ultrasound knife.The surgical indicators,complication rate,and hospitalization time were compared between the two groups.Results The operation time,intraoperative blood loss,postoperative 24 h drainage volume and incision length of the study group were less than those of the control group,and the differences were statistically significant(all P<0.05).The incidence of complications in the study group was 2.33%(1/43),which was lower than 13.95%(6/43)in the control group,and the difference was statistically significant(χ^(2)=3.888,P<0.05).The hospitalization time of the study group was shorter than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of ultrasound knife in open thyroid surgery has better surgical indicators and lower risk of complications,which is helpful for postoperative rehabilitation of patients.

关 键 词：超声刀 甲状腺手术 手术时间 术中出血量 并发症 术后康复 

分 类 号：R4[医药卫生—临床医学]