FOCUS超声刀在小切口甲状腺手术中的应用

The Use of FOCUS Ultrasonic Scalpel in small Cervical Incision Thyroidectomy

目的探讨应用FOCUS超声刀在小切口甲状腺手术中效果。方法对我科于2008年7月-2009年9月,80例甲状腺良性疾病(Ⅱ°)采用颈部小切口及FOCUS超声刀下施行甲状腺手术进行回顾性分析。结果手术平均时间45min(30～75min),术中平均出血量15ml(5～30ml),术后未出现大出血、声音嘶哑、口角麻木等并发症,术后24h平均切口引流量20ml(15～30ml)。术后平均住院时间3天(2～5天)。结论FOCUS超声刀在小切口行甲状腺手术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 minor-insision thyroidectomy with FOCUS ultrasonic scalpel.Methods Mini-incision thyroidectomy with FOCUS ultrasonic scalpel was performed in 80 cases with thyroid diseases from 2008 July to 2009 September.Results The mean operation time was 45 min,ranging from 30 to 75 minutes.The mean blood loss was 15 ml,ranging from 5 to 30 ml.No postoperative hoarse voice,secondary bleeding,low calcium convulsion were found.The average drainage volume of 24 hours in postoperation was 20 ml,ranging from 15 to 30 ml,and the average hospital stay in postoperation was 3 days,ranging from 2 to 5 days.Conclusions FOCUS ultrasonic scalpel for thyroidectomy would reduce the volume of bleeding,complications,hospitalization time and operation time,and possesses a good cosmetic outcome and less trauma.