开放性甲状腺手术中不同手术器械的对比应用分析

Analysis on contrast application of different instruments in open thyroid operation

目的比较LigaSure血管闭合系统、超声刀及单极高频电刀在开放性甲状腺手术中的临床治疗效果。方法收集该院序贯入院并符合纳入标准的甲状腺手术患者293例,按随机数字表法分为3组,LigaSure血管闭合系统手术组(LigaSure组)98例、超声刀手术组(超声刀组)100例、单极高频电刀组(电刀组)95例,分别比较3组手术患者的术中和术后情况。结果 LigaSure组及超声刀组的患者的手术时间、术中出血量和术后引流量均明显少于电刀组(P<0.05),且减轻了患者的痛苦、减少了患者的住院时间(P<0.05),促进了患者的术后恢复;而LigaSure组及超声刀组患者之间差异无统计学意义(P>0.05)。结论LigaSure血管闭合系统和超声刀在开放性甲状腺手术中可缩短手术时间、减少术中出血和术后引流,减轻疼痛,减少住院时间。

Objective To compare the clinical therapeutic effect of LigaSure vessel sealing system ,ultrasonic scalpel and mo‐nopolar high frequency electrocautery in open thyroid operation .Methods 293 cases of thyroid operation sequentially admitted in our hospital and in accordance with the inclusion criteria were collected and divided into three groups by the method of random dig ‐its table .There were 98 cases in the LigaSure vessel sealing system group （L‐Sure group） ,100 cases in the ultrasonic scalpel （US group） and 95 cases in the monopolar high frequency electrocautery （M‐E group） .The intraoperative and postoperative conditions were compared among 3 groups .Results The operation time ,intraoperative amount of bleeding and postoperative drainage in the L‐S group and the US group were significantly less than those in the M‐E group （P〈0 .05） ,moreover the patient′s pain and the hos‐pitalization stay were reduced and the postoperative recovery was promoted （P〈0 .05）;but the differences between the L‐S group and the US group had no statistical significance （P〉0 .05） .Conclusion The LigaSure vessel sealing system and ultrasonic scalpel can shorten the operation time ,reduce the amount of bleeding and postoperative drainage ,relieve pain and reduce the hospitalization duration .