自制拉钩在腔镜甲状腺手术中的应用效果探讨

目的探讨腔镜甲状腺手术中选用自制拉钩的价值。方法选2020.03~2022.03区间接收50例腔镜甲状腺手术患者研究,按1:1比例分为对照组(n=25,选用开放组手术治疗)、观察组(n=25,选用自制拉钩治疗),统计两组临床指标、并发症率、美容满意度。结果观察组临床指标优于对照组,统计值P<0.05。观察组并发症率(4.00%)低于对照组(24.00%),统计值P<0.05。观察组美容满意度高于对照组,统计值P<0.05。结论自制拉钩在腔镜甲状腺手术中效果确切,可缩短手术时间、皮瓣游离时间,亦可降低并发症率及疼痛程度,值得借鉴。

Anterolateral thigh free flap for simultaneous reconstruction of digital extensor tendon and defect of the dorsal hand： A case report

This paper describes a new technique in the repair of the hand defect with digital extensor tendon injury. The anterolateral thigh flap with the thick femoral fascia has been used in the reconstruction of the composite defect of the dorsal hand, especially the defect of tendon. This technique requires short period of treatment and hence causes less damage to the donor site but shows a better recovery of the hand function. A favorable curative effect has been obtained in this patient.