应用FOCUS超声刀行精细化被膜解剖法在甲亢手术中的临床价值

Meticulous Capsular Dissection Technique with Ultrasonic Scalpel(FOCUS) in Subtotal Thyroidectomy in the Treatment of Hyperthyroidism

目的:探讨应用FOCUS超声刀行精细化被膜解剖法对甲亢患者手术后并发症的影响和临床价值。方法:156例甲亢患者行双侧甲状腺次全切除术,随机分成研究组80例和对照组76例。研究组应用FOCUS超声刀行精细化被膜解剖法,对照组应用传统方法实施甲状腺次全切除术。比较两组手术时间、术中出血量、术后引流量、切除腺体量、近期术后并发症。结果:研究组手术时间、术中出血量和术后并发症较对照组减少,差异有统计学意义(P<0.05),但两组切除腺体量比较差异无统计学意义(P>0.05)。结论:应用超声刀实施精细化被膜解剖法实施甲亢手术有利于缩短手术时间,减少并发症,是安全、有效的手术方法。

Objective：To investigate the clinical value of meticulous capsular dissection technique with ultrasonic scalpel （FOCUS） in subtotal thyroidectomy in the treatment of hyperthyroidism.Methods：156 cases with hyperthyroidism were randomly divided into research group（80 cases） and control group（76 cases）.Meticulous capsular dissection technique with ultrasonic scalpel（FOCUS） was performed in the research group,while conventional dissection technique applied in the control group.Operation time,operative blood loss,postoperative drainage,incised thyroid gland and complications were analysed.Results：The mean operation time,operative blood loss,postoperative drainage and postoperative complications were decreased more significantly in the research group than the control group（P0.05）.There was no significant difference in incised thyroid gland between research group and control group（P0.05）.Conclusion：Meticulous capsular dissection technique with ultrasonic scalpel（FOCUS） can reduce operation time and complications.It is a safe and effective operation method.