超声刀在腮腺手术中的应用

Application of Harmonic Scalpel in Parotid Gland Surgery

目的:探讨超声刀在腮腺手术中的应用价值。方法:需行腮腺切除手术病人共43例,随机分为超生刀组(A)和电刀组(B),常规术式区域切除腮腺及肿物,记录两组手术时间、术后48h引流量及术后并发症。结果:超声刀组手术时间、引流量、涎瘘均低于电刀组,两组面神经损伤无显著差异。结论:超声刀在腮腺手术中的应用能提高手术效率,减少术后并发症,具有一定的应用价值。

Objective： To report our experience in the use of harmonic scalpel in parotid gland surgery. Methods： 43 patients were designed with random assignment of one side to the harmonic scalpel（23）, with the other side de- faulting to electrocautery（20）. Main outcome measures were ： operation time ; volume of draining ; postoperative corn plication. Results： The use of harmonic scalpel shortened the operation time,reduced the volume of draining and sal ivary fistula compared with electrocautery. Conclusion： The use of harmonic scalpel can raise efficiency, reduce the postoperative complication in parotid gland surgery.