FOCUS超声刀在低领式小切口甲状腺癌根治术中的应用

目的:探讨F0CUS超声刀在低位领式小切口行甲状腺癌根治术中的应用及技巧。方法:将我院乳腺甲状腺外科220例拟接受根治性手术的甲状腺癌患者随机分为F0CUS超声刀组(n=112例)和常规手术组(n=108例)。比较两组病人住院时间、切口长度、总手术时间、颈淋巴结清扫时间、术中出血量、术后引流量、术后早期并发症。结果:FOCUS超声刀组与常规组总手术时间分别为(108.72±21.54)min和(153.16±30.25)min(p<0.05),颈淋巴结清扫时间分别为(18.57±6.55)min和(38.18.57±6.55)min(p<0.05),术中出血量分别为(16.58±8.66)mL和(34.12±9.84)mL(p<0.05),切口长度分别为(4.29±0.64)cm和(6.12±0.71)cm(p<0.05);两组住院时间,术后引流量及术后并发症差异无统计学意义(p>0.05)。结论:FOCUS超声刀可缩短手术时间,尤其是颈淋巴结清扫的时间,减少术中出血量,美容效果好,熟练掌握超声刀的使用技巧,手术更安全、美观有效。

Objective:To investigate the significance of Harmonic focus during low collar small incision underwent functional neck lymphnode dissection and its surgical techniques. Methods:220 inpatients undergoing functional neck dissection were randomly assigned to FOCUS group(112 casas) and conventional group(108 cases), the two groups were compared for statistical analysis by hospitalization time, incision length, operation time, intraoperative blood loss, postoperative draining volume, early postoperative complications. Results:The mean operation time in FOCUS group and conventional group were(108.72±21.54)min vs.(153.16±30.25)min, respectively(p<0.05), neck dissection time were(18.57±6.55)min vs.(38.18.57±6.55)min,respectively(p<0.05), Mean intraoperative blood loss were(16.58±8.66)ml vs.(34.12±9.84)ml, respectively(p<0.05), Mean incision length were(4.29±0.64)cm vs.( 6.12±0.71)cm, respectively(p<0.05).The difference of the duration of hospitalization, postoperative draining volume and early postoperative complications had no statistical significance(p>0.05). Conclusion:Compared with conventional group, the application of Harmonic FOCUS in the functional neck dissection has significant advantages of lessen the length of incision, less operation time, less intraoperative blood loss and easy control.