摘要
目的:探讨对比超声刀与传统电刀在开放性甲状腺肿瘤手术方式中的疗效。方法:将收治的107例甲状腺手术患者,按入院顺序分为对照组55例(传统电刀手术方式)和观察组52例(超声刀手术方式),对比2组手术的治疗效果。结果:(1)观察组手术用时、术中出血量、术腔引流管留置时间、切口长度、血管结扎数与对照组比较,差异有统计学意义(P<0.05);(2)并发症发生率观察组为5.7%对照组为21.8%,2组比较差异有统计学意义(P<0.05)。结论:超声刀在开放性甲状腺手术中的使用可以减少手术中软组织创伤,减少出血量,缩短手术时间,提高患者术后美容度,同时可减少术后并发症,促进患者康复。
Objective： To analyze and contrast the therapeutic effect of ultrasound knife in thyroid tumor surgery.Methods： 107 cases of thyroid tumor patients treated with operation were divided into group A,55 cases （electric knife operation） and group B,52 cases （ultrasound knife operation）,and therapeutic effect of the two groups were analyzed.Results： （1） Group A： the operative time （60.3± 11.4） min,the intraoperative blood loss （21.7 ± 10.5） ml,drainage tube placing time （5.7 ± 1.8） d,surgical incision length （5.9 ±1.7） cm,and times of vascular ligation （4.3 ± 0.7）.Group B： the operative time （50.5 ± 13.4） min,the intraoperative blood loss （21.7 ± 10.5） ml,drainage tube placing time （4.2 ± 1.1） d,surgical incision length （4.5 ± 0.9） cm,and times of vascular ligation （1.8 ± 0.9）.The difference between the two groups was statistically significant （P 0.05）.（2） The postoperative complications in group B were significantly lower than those in group A （5.7% VS 21.8%）.Conclusion： The use of ultrasonic scalpel in open thyroid surgery can reduce the surgical trauma of soft tissue and amount of bleeding,shorten the operation time and improve the degree of beauty after surgery.At the same time,it can reduce the postoperative complications and promote the rehabilitation of patients.It is worth to be popularized in clinical practice.
出处
《淮海医药》
CAS
2017年第5期521-523,共3页
Journal of Huaihai Medicine
作者简介
张超（1987-），男，住院医师，大学，主要从事甲状腺、乳腺肿瘤的外科治疗。
