超声刀在开放性甲状腺手术中的临床应用

Application of harmonic scalpel in open thyroid surgery

目的探讨超声刀在开放性甲状腺手术中的临床应用价值。方法分析应用超声刀行开放性甲状腺手术95例,并将同期行传统甲状腺手术(采用高频电刀和丝线结扎止血方法)105例作为对照,比较两组的手术时间、切口长度、术中出血量、术后引流量、术后住院日及并发症情况。结果手术时间:超声刀组为(63.4±32.5)min,传统组为(91.3±31.1)min;切口长度:超声刀组为(4.2±0.6)cm,传统组为(7.0±2.1)cm;术中出血量:超声刀组为(15.5±3.2)ml,传统手术组(30.4±4.7)ml;两组差异均有统计学意义(P<0.05)。两组术后引流量、术后住院日及并发症比较无统计学意义(P>0.05)。结论超声刀应用于开放性甲状腺手术,缩小了手术切口,简化了手术操作,缩短手术时间,减少了手术创伤,在甲状腺开放性手术中应用优势明显。

Objective To investigate the use of harmonic scalpel in open thyroid surgery.Methods From March 2009 to November 2012,open thyroid surgeries were performed in 200 cases in our hospital.Ninety five cases received harmonic scalpel thyroidectomy and 105 cases underwent conventional thyroidectomy used electric scalpel.The operation time,the length of incision,intraoperative blood loss,postoperative draining volume,the length of hospitalization and postoperative complications between two groups were compared.Results The operation time,the length of incision,and intraoperative blood loss in the 2 groups were （63.4±32.5）mins vs （91.3±31.1）mins,（4.2±0.6）cm vs （7.0±2.1） cm,（15.5±3.2）ml vs（30.4±4.7）ml.The difference between 2 groups had statistical significance （P＜0.05）.The difference of postoperative draining volume,the length of hospitalization and postoperative complications had no statistical significance （P＞0.05）.Conclusion Compared with conventional thyroidectomy,Harmonic scalpel thyroidectomy has significant advantages of lesson the length of incision,less operation time,less blood loss,alleviate operative wound,and easy control.