超声刀行精细化被膜解剖对甲状腺手术的临床价值

Ultrasonic scalpel for meticulous capsular dissection in thyroidectomy

目的探讨超声刀行精细化被膜解剖在甲状腺手术中的应用。方法 76例拟行甲状腺切除术患者,随机分为超声刀组(40例)和传统术式对照组(36例)。超声刀组应用超声刀行精细化被膜解剖,对照组应用传统方法实施术。比较两组手术时间、术中出血量、术后引流量。结果超声刀组手术时间、术中出血量、术后引流量均较对照组明显减少,差异有统计学意义(P<0.05)。结论应用超声刀实施精细化被膜解剖实施甲状腺手术有利于缩短手术时间,减少并发症,是安全、有效的手术方法。

Objective To investigate the clinical feasibility of meticulous capsular dissection technique with ultrasonic scalpel in thyroidectomy. Methods Seventy six cases to undergo thyroidectomy were randomly divided into 2 groups, i.e. With 40 cases in ultrasonic scalpel group（USG） and 36 in control group（CG）. Cases in USG were undergone meticulous capsular dissection with the use of ultrasonic scalpel, while those in CG undergone this performance by conventional dissection technique. Then, compared between these two groups were such indicators as the time spent during the operation, bleeding volume in operation and postoperative drainage volume. Results The mean spent time, bleeding volume in operation and postoperative drainage volume were much significantly reduced among the cases in USG, when compared with that in CG（P〈0.05）. Conclusions Meticulous capsular dissection technique with ultrasonic scalpel can shorten the time spent during the operation and reduce the rate of complications. Therefore, it is a kind of safe and effective surgical procedure.