超声刀辅助不离断颈前肌群术式治疗甲状腺良性肿瘤的临床研究

Clinical study of untransection of anterior cervical muscles assisted by ul-trasonic scalpel in the treatment of benign thyroid neoplasma

目的探讨超声刀辅助不离断颈前肌群术式治疗甲状腺良性肿瘤的可行性和实用性。方法选择我院108例甲状腺良性肿瘤患者,随机分为两组,实验组62例使用超声刀辅助不离断颈前肌群手术治疗,对照组46例行离断颈前肌群传统结扎钳夹手术,将两组患者术前、术中、术后的各项指标进行分析比较。结果实验组患者手术平均切口长度、手术时间、术中失血量、术后引流量、术后疼痛评分、切口瘢痕评分及住院时间等方面与对照组比较,差异均有统计学意义(P<0.05),但两组患者手术副损伤和并发症差异无统计学意义(P>0.05)。结论超声刀辅助不离断颈前肌群切除甲状腺良性肿瘤安全、可行,具有创伤小、出血量少、操作简单、术后切口美观等优势,是一种值得基层临床推广的手术方法。

Objective To investigate the feasibility and efficacy of untransection of anterior cervical muscles assisted by ultrasonic scalpel in the treatment of benign thyroid neoplasma. Methods A total of 108 cases with benign thyroid tu-mor were randomly divided into treating group and control group. 62 cases in treating group were treated with the un-transection of anterior cervical muscles assisted by ultrasonic scalpel, while 46 cases in control group were treated with tradition thyroidectomy. The preoperative, intraoperative and postoperative indicators of the two groups were analyzed. Results The average length of incision, operating time, blood loss, postoperative drainage volume, pain scores, scar scores and hospital time of treating group had significantly differences compared with control group （P0.05）. Conclusion Ultrasonic scalpel-assisted thyroidectomy is a safe and effective procedure for benign thy-roid diseases, with little trauma, less blood loss, and excellent cosmetic benefits. It is worthy of popularization and ap-plication, especially in the basic level hospital.