甲状腺良性疾病手术中使用超声刀和电刀的对比研究

Contrast research of thyroid benign disease surgery by using ultrasonic scalpel and electrotome

目的分析超声刀与电刀在开放甲状腺良性疾病手术中的临床效果。方法选取2010年1月至2014年1月于本院进行甲状腺良性疾病手术的220例患者,其中150例采用超声刀进行甲状腺手术,70例采用传统的电刀进行甲状腺手术,对两组患者的切口长度、手术时间、术中出血量、住院天数、手术费用、术后引流管拔除时间、术后第1、2天引流管引流量及并发症,进行分析比较。结果两组患者无死亡病例,无神经损伤病例,电刀组有1例术后出血,予以再次手术止血后好转。超声刀及电刀组在手术费用、病人性别、并发症、年龄无差异。超声刀组在切口长度、手术时间、术中出血量、术后住院天数、术后引流管拔除时间及术后第1、2天引流管引流量明显低于电刀组,有统计学意义。结论在甲状腺良性疾病手术中,超声刀明显优于电刀,手术中可优先使用超声刀。

Objective To observe the clinical effect of ultrasonic scalpel and electrotome in open thyroid benign diseases surgery. Methods 220 patients with thyroid benign tumor were included in the study, and underwent surgical treatment from January 2010 to January 2014 in our hospital. Of220 cases, 150 received thyroid surgery procedure by using ultrasonic scalpel（ultrasonic scalpel group）,and 70 by using traditional electrotome for thyroid surgery（electrotome group）. Incision length,operative time, intraoperative blood loss, postoperative hospitalization days, postoperative drainage tube time,surgery cost, complications between two groups were compareed. Results All operation in two groups were completed smoothly with no deaths and no severe nerve injury..The incision length,.operative time, intraoperative blood loss, postoperative hospitalization days, postoperative drainage tube removal time in ultrasonic scalpel group were lower than that in electrotome group, with statistical significance.Conclusion Ultrasonic scalpel is superior to electrotome in thyroid benign disease surgery.