超声刀与高频电刀在甲状腺切除术中应用效果及安全性对比分析

Comparative Analysis of the Effect and Safety of Ultrasonic Scalpel and High Frequency Electrotome in Thyroidectomy

目的:对比超声刀与高频电刀在甲状腺切除术中的应用效果及安全性。方法:选取2018年12月-2019年10月于本院行甲状腺切除术治疗的98例甲状腺疾病患者,采用随机数字表法分为两组,每组49例。对照组采用高频电刀治疗,观察组采用超声刀治疗。对比两组手术相关指标、生活质量及并发症发生情况。结果:与对照组相比,观察组术中出血量、术后24 h引流量较少,术后2 d的VAS评分较低,观察组术后6个月简明健康调查量表(SF-36)评分较高,并发症发生率较高,差异有统计学意义(P<0.05)。结论:超声刀在甲状腺切除术中的应用效果优于高频电刀,能有效减轻患者疼痛,降低术后并发症,利于患者预后。

Objective:To compare the effect and safety of ultrasonic scalpel and high frequency electrotome in thyroidectomy.Method:From December 2018 to October 2019,98 patients with thyroid disease who underwent thyroidectomy in our hospital were randomly divided into two groups,49 cases in each group.The control group was treated with high frequency electrotome,and the observation group was treated with ultrasonic scalpel.The operation related indexes,quality of life and complications were compared between the two groups.Result:Compared with the control group,the observation group had less intraoperative blood loss and drainage 24 hours after surgery,and lower VAS score 2 days after surgery,and the SF-36 score of the observation group was higher than that of the control group,the differences were statistically significant (P<0.05).Conclusion:The application effect of ultrasonic scalpel in thyroidectomy is better than that of high frequency electrotome,which can effectively reduce the pain of patients,reduce the postoperative complications and benefit the prognosis of patients.