摘要
目的比较钳式Liga Sure(LSJI)和钳式超声刀(FOCUS)在开放性甲状腺全切除术中的临床应用效果。方法回顾性分析中山大学孙逸仙纪念医院甲状腺外科2013年6月至10月行开放性甲状腺全切除术的189例患者资料,按照术中使用的辅助工具分为FOCUS辅助下手术组(F组)及LSJI辅助下手术组(L组),比较两组患者的病史特点、切除甲状腺时间、术中、术后出血量及术后并发症的发生率。结果 L组切除甲状腺平均时间为(35.3±8.6)min,F组为(48.5±9.1)min。切除甲状腺时间长短与术中使用的辅助工具相关,两者之间的差异有统计学意义(P<0.05);而两组患者的术中、术后出血量、术后血肿发生率、甲状旁腺功能减退发生率、喉返神经损伤性声嘶发生率等差异无统计学意义。结论 LSJI和FOCUS作为甲状腺全切除术的辅助工具均是安全、有效的,但LSJI有助于更高效完成手术。
Objective To compare the application of Liga Sure small jaw instrument(LSJI) ver-sus Harmonic FOCUS in total thyroidectomy. Methods The clinical data of 189 patients undergoing to-tal thyroidectomy from June 2013 to October 2013 in Thyroid Surgery Department were analyzed retro-spectively. The patients were divided into L(LSIJ) group and F(FOCUS) group according to the assisstantinstrument during operation. The mean operative time to remove thyroid gland and postoperative complica-tions(such as hematoma, recurrent laryngeal nerve injury, drinking cough and hypocalcemia) were com-pared between the two groups. Results The mean operative time of L group and F group was(35.3±8.6) minand(48.5±9.1) min, respectively. Students t-test showed that using LSJI in total thyroidectomy was signif-icantly associated with shorter operative time(P<0.05). Oppositely, hematoma in or after operation, com-plications of hypoparathyroidism, recurrent laryngeal nerve injury and drinking cough between two groupsshowed no statistically significant difference. Conclusion Both Liga Sure small jaw instrument and Har-monic FOCUS are safe and effective for open total thyroidectomy, while Liga Sure small jaw instruent ismore efficient to remove thyroid gland.
出处
《中华普通外科学文献（电子版）》
2016年第1期53-55,共3页
Chinese Archives of General Surgery(Electronic Edition)
