超声刀开放甲状腺手术的临床效果评估

Evaluation of clinical efficacy of ultrasonic-harmonic scalpel in open thyroid surgery

目的:观察及评估超声刀开放甲状腺手术的临床综合效果。方法:选取2012年1月至2014年1月于某院进行甲状腺手术治疗的70例患者为研究对象,将70例患者随机分为对照组(传统手术治疗组,35例)和观察组(超声刀开放手术治疗组,35例),统计并比较2组患者的手术时间、术中出血量、术后住院时间及手术前后的机体应激相关血清指标。结果:观察组手术时间、术中出血量及术后住院时间均明显好于对照组,且术后5 d的机体应激相关血清指标也显著低于对照组,P均<0.05。结论:超声刀开放甲状腺手术的临床短期效果明显好于传统手术,安全性较高,且机体不良应激程度也更低。

Objective To evaluate the clinical efficacy of ultrasonic-harmonic scalpel in open thyroid surgery. Methods Totally 70 patients with thyroid surgery from January 2012 to January 2014 in some hospital were selected as the study objects, who were divided into a control group and an observation group equally. The patients in the control group went through traditional surgery, and the ones in the observation group underwent open thyroid surgery. Then the operative time, blood loss, postoperative hospital stay before and after surgery and body stress-related serum markers of two groups were analyzed and compared. Results The observation group had the operative time, blood loss and postoperative hospital stay significantly better than those of the control group, and the body stress-related serum markers 5 days after operation significantly lower than that of the control group, with P 〈0.05. Conclusion The short-term clinical effect of ultrasonic-harmonic scalpel in open thyroid surgery is significantly better than that of traditional surgery, which has high safety and lower degree of adverse physical stress.