超声刀在小切口甲状腺手术中的应用

Harmonic scalpel in the use of mini-incision thyroidectomy

目的探讨应用超声刀在小切口甲状腺手术中效果。方法对我科于2006年1月～2007年4月,106例良性甲状腺疾患(Ⅱ°)采用颈部小切口及超声刀下施行甲状腺次全切除术进行回顾性分析。结果手术平均时间50min(40～90min),术中平均出血量20ml(5～40ml),术后24h平均切口引流量20ml(10～40ml),术后1例出现口角麻木、低钙血症者。术后平均住院时间4d(3～5d)。结论超声刀在甲状腺中应用能减少手术时间、术中出血,手术并发症少,术后恢复快,手术切口小,而且具有美容效果。

Objective To investigate the efficacy of mini-insision thyroidectomy with harmonic scalpel. Methods Mini-incision thyroidectomy with harmonic scalpel was performed in 106 cases with thyroid diseases from 2006 Jan to 2007 Apr. Results The mean operation time was 50 min（40～90 min）. The mean blood loss was 20ml（5～40 ml）. The average drainage of 24 hours after operation was 20 ml （10～40 ml）. Only one case ocurred hypocalcemia after operation. The average hospital stay was 4 days（3～5 days）. Coneclusion The harmonic scalpel for thyroidectomy can reduce the volume of bleeding, complication, recovery time and operation time , and possesses a good cosmetic outcome and less trauma.