冷沉淀用于甲状腺次全切除术的临床研究

Clinical research on cryoprecipitate application in subtotal thyroidectomy

目的:了解血浆冷沉淀用于甲状腺次全切除手术的疗效。方法:选取2009-01—2010-06进行甲状腺次全切除手术的患者200例分为2组,实验组中100例使用血浆冷沉淀制剂覆盖创面,不放引流物观察治疗,对照组放置胶管或胶片引流,观察术后并发症发生情况,并与使用血浆冷沉淀制剂组进行多指标对比分析。结果:实验组多指标优于对照组。结论:血浆冷沉淀用于甲状腺次全切除术患者具有明显止血、止渗出的效果,可以不放置引流物,有利于减少并发症及患者痛苦。

Objective：To explore the effect of plasma cryoprecipitate in the subtotal thyroidectomy. Method： From January 2009 to June 2010, 200 cases of subtotal thyroidectomy were divided into two groups： experimental group including 100 cases with surgery preparation using plasma cryoprecipitate covering the wound, and hold drain observation and treatment, and control group including 100 cases with placing the hose or film drainage. The incidence of postoperative complications was observed, and multiple indexes were compared with the use of plasma cryoprecipitate preparation group. Result： The indicators of experimental group were better than those of control group. Conclusion：The plasma cryoprecipitate might have effect on improving bleeding and leakage in subtotal thy- roidectomy, so there would no necessary to place drain, which would help reduce complications and patient suffer- ing.