摘要
目的通过临床对照研究,评价超声刀在内镜下甲状腺手术中的应用价值。方法2002年9月～2005年4月,分别采用钛夹和超声刀经胸骨切迹小切口进行内镜下甲状腺次全切除术和腺叶切除术35例。结果超声刀组、钛夹组和传统组三组间病例具有类似的年龄与性别,差异无显著性(P>0.05)。三组间肿瘤直径大小差异无显著性(P>0.05)。平均手术时间,钛夹组长于超声刀组与传统组,差异有显著性(P值分别为0.003和0.001,均小于0.05),而超声刀组与传统组相比,差异无显著性(P>0.05)。出血量超声刀组少于钛夹组和传统组,差异有显著性(P=0.001,均小于0.05)。结论超声刀是一种适用于内镜下甲状腺手术的新型外科工具,不仅能提高手术的安全性,减少出血,还可大幅度降低手术操作难度,缩短手术时间,值得推广应用。
OBJECTIVE To evaluate the value of harmonic scalpel in endoscopic thyroid surgery. METHODS Endoscopic thyroid surgeries through a small incision in sternal notch were performed in 35 cases with thyroid neoplasms from Sep. 2002 to Apr. 2005 using titanium clamp or harmonic scalpel. RESULTS There were no significant difference on tumor diameter and the age of the patients （P〉0.05） among harmonic scalpel group, titanium clamp group and conventional group. The operation time of titanium clamp group was longer than that of harmonic scalpel group or conventional group （P value was 0.003 and 0.001 respectively）. There were no difference on operation time between harmonic scalpel group and conventional group（P 〉 0.05）. The blood loss in harmonic scalpel group was less than that in titanium clamp group or conventional group（P=0.001）. CONCLUSION Harmonic scalpel is a new type of surgical instrument and is suitable for endoscopic thyroid surgery. It is worth of recommending that harmonic scalpel can not only increase safety of surgery and reduce blood loss, but also decrease the difficulty of operation and shorten the operation time.
出处
《中国耳鼻咽喉头颈外科》
北大核心
2007年第6期325-327,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
