摘要
目的:探讨电凝钩在乳晕径路腔镜甲状腺手术中应用的可行性和优点。方法:2002年8月到2005年5月采用胸部乳晕入路行腔镜甲状腺手术113例。31例(A组)使用超声刀分离皮下间隙,其中甲状腺腺瘤11例,结节性甲状腺肿20例。82例(B组)使用电凝钩分离皮下间隙,其中甲状腺腺瘤30例,结节性甲状腺肿52例。结果:A组的手术时间为(163.67±67.63)min,长于B组的(114.39±41.76)min,差异有统计学意义(P<0.05),A组术后第1天的引流量为(67.33±52.33)ml,平均67ml,B组的引流量为(95.48±86.42)ml,平均95ml。A组和B组术前、术后第1天和术后第3天的C-反应蛋白(CRP),术后第1天体温比较差异无统计学意义(P>0.05)。结论:电凝钩用于建立乳晕径路腔镜甲状腺手术的腔隙是安全可行的。
Objective:To explore the feasibility and advantage of endoscopic thyroidectomy by breast approach with electric coagulation.Methods:From Aug.2002 to May.2005,113 patients underwent endoscopic thyroidectomy.The subcutaneous operative space was created with ultrasonic scalpel(31 cases,include 11 adenoma,20 nodular goiter,group A)and electric coagulation(82 cases,include 30 adenoma,52 nodular goiter,group B).Results:The operating time was significantly longer in group A (163.67±67.63)min than that in group B (114.39±41.76)min(P〈0.05).The volum of drainage in group A were (67.33±52.33)ml(mean 67ml),group B were (95.48±86.42)ml(mean 95ml).There were no difference about C reaction protein(CRP) at preoperation and 1,3 days after operation(P〉0.05).The temperature has no significant difference at 1 day after operation in group A and group B(P〉0.05).Conclusions:The electric coagulation is safe to creat the subcutaneous operative space in the endoscopic thyroidectomy by breast approach.
出处
《腹腔镜外科杂志》
2007年第5期366-367,共2页
Journal of Laparoscopic Surgery
基金
广西卫生厅科研基金资助项目(桂卫Z2006035)