超声刀在甲状腺乳头状癌开放手术中应用的前瞻性研究

A prospective randomized study of FOCUS harmonic scalpel in the opening papillary thyroid carcinoma surgery

目的探讨超声刀在甲状腺乳头状癌（PTC）开放手术中的应用价值。方法将2013年6月至2013年12月行手术的110例PTC患者随机分为两组,超声刀手术组55例,传统手术组55例。对比两组切口长度、手术时间、术中出血量、术后24 h内引流量、第2个24 h引流量及总引流量、淋巴结清扫数目、术后并发症、术后住院天数。结果超声刀手术组与传统手术组切口长度分别为（5.5±0.4）cm与 （6.6±0.5）cm,手术时间分别为（54.4±8.7）min与（73.3±13.9）min;术中出血量分别（14.2±6.0）ml与（29.8±5.0）ml,差异有统计学意义（P〈0.05）。两组在术后引流量、淋巴结清扫数目、术后并发症、术后住院天数等方面差异无统计学意义（P〉0.05）。结论超声刀在开放性甲状腺癌手术中可缩短手术时间、切口长度,减少术中出血量。

ObjectiveTo evaluate effectiveness of application with FOCUS harmonic scalpel in papillary thyroid carcinoma （PTC） surgery. Methods110 patients with PTC between June 2013 and December 2013 were divided into two groups randomly as harmonic scalpel group （group H） and conventional group （group C）. Incision length, operative time, estimated blood loss, drainage volume within 24 h, in the second 24 h and in total after operation, the number of lymph node retrieval, post-operative complication and hospital stay were compared between two groups. Rusults There is significant different in factors of incision length [（5.5±0.4） cm in group H and （6.6±0.5） cm in group C （P 〈 0.05）], operative time [（54.4±8.7） min in group H and （73.3±13.9） min in group C （P 〈 0.05）], estimated blood loss [（14.2±6.0） ml in group H and （29.8±5.0） ml in group C （P 〈 0.05）]. There were no differences in drainage volume, the number of lymph node retrieval, post-operative complication and hospital stay between two group （P 〉 0.05）. ConclusionFOCUS harmonic scalpel could reduce incision length, operative time, estimated blood loss in PTC surgery.