超声刀联合双极电凝镊用于甲状腺手术的效果观察

Application effects observation of ultrasonic scalpel combined with bipolar coagulation tweezers on open thy-roid surgery

目的：观察超声刀结合双极电凝镊在开放甲状腺手术中应用效果。方法采用整群随机抽样的方法选取甲状腺手术患者80例，依据治疗方法将这些患者分为两组，即研究组（n ＝40）和对照组（n ＝40）。给予对照组患者超声刀结合传统丝线结扎方法治疗，给予研究组患者超声刀结合双极电凝镊治疗，然后对两组患者的手术相关指标及并发症发生情况进行统计分析。结果和对照组（90．5±3．6）min、（6．5±0．6）d、（40．5±2．0）mL、（50．3±1．4）mL、（6．6±0．5）cm 相比，研究组患者的手术时间、住院时间（58．5±5．4）min、（3．4±0．2）d 均显著较短（t ＝6．965，3．143，均 P ＜0．05），术中出血量、术后引流量（5．0±1．4）mL、（1．0±0.6）mL 均显著较少（t ＝4．541，3．747，均 P ＜0．05），切口直径（3．8±0．3）cm 显著较短（t ＝3．365，P ＜0．05），并发症发生率2．5％（1／40）显著低于对照组10．0％（4／40）（χ^2＝9．35，P ＜0．05）。结论超声刀结合双极电凝镊在开放甲状腺手术中应用效果显著。

Objective To investigate the application effects of ultrasonic scalpel combined with bipolar coag-ulation tweezers on open thyroid surgery.Methods 80 cases of thyroidectomy patients were randomly selected.These patients were divided into two groups by random cluster sampling method,whch were the study group （n =40）and control group （n =40）.The control group of patients were given ultracision ligature methods combined with traditional therapy,while the study group of patients were given ultrasonic scalpel combined with bipolar coagulation tweezers treatment.And then the surgical related indicators and complications of the two groups of patients were statistically an-alyzed.Results Compared with the control group of （90.5 ±3.6）min,（6.5 ±0.6）d,（40.5 ±2.0）mL,（50.3 ± 1.4）mL and （6.6 ±0.5）cm,the operative time and length of stay of the study group of patients[（58.5 ±5.4）min and （3.4 ±0.2）d]were significantly shorter （t =6.965,3.143,all P 〈0.05）;the blood loss and postoperative drainage of （5.0 ±1.4）mL and （1.0 ±0.6）mL were significantly less （t =4.541,3.747,all P 〈0.05）;the cut diameter of （3.8 ±0.3）cm was significantly shorter （t =3.365,P 〈0.05）;the complication rate of 2.5% （1 /40） was significantly lower than the control group 10.0%（4 /40）（χ^2 =9.35,P 〈0.05）.Conclusion The application effects of ultrasonic scalpel combined with bipolar coagulation tweezers on open thyroid surgery are obvious.