超声刀与高频电刀在甲状腺手术的临床对比研究

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超声刀与高频电刀在甲状腺手术的临床对比研究

作者：周朝明林志超林天李汉权

来源：《中国医药科学》2012年第12期

[摘要] 目的比较甲状腺手术中应用超声刀和高频电刀的效果。方法对2009年1月～2010年1月在笔者所在医院行甲状腺手术的60例患者的临床资料进行回顾性分析。其中超声刀手术组与高频电刀手术组分别30例，均为同一主刀医生完成。结果超声刀手术组的手术时间、术中出血量以及切口长度均少于高频电刀手术组（P＜0.05）；超声刀手术组术后并发症发生率显著低于高频电刀手术组（P＜0.05）。结论超声刀在甲状腺手术中可显著缩短手术时间，减少术中出血和切口长度，降低术后并发症，是安全、有效的手术方法。

[关键词] 超声刀；高频电刀；甲状腺手术

[中图分类号] R616.1 [文献标识码] A [文章编号] 2095-0616（2012）12-17-02 Research on the comparison of ultrasound knife and hypercator in glandula thyreoidea operation ZHOU Chaoming1 LIN Zhichao1 LIN Tian2 LI Hanquan1

1.Department of Surgical,Leizhou Hospital of Traditional Chinese Medical,Leizhou

524200,China;2.Department of Internal Medicine,Leizhou Hospital of Traditional Chinese Medical,Leizhou 524200

[Abstract] Objective To compare the effective of using ultrasound knife and hypercator in glandula thyreoidea operation. Methods The clinical data of 60 patients treated by glandula thyreoidea surgical operation in our hospital from Jan 2009 to Jan 2010 were selected and analyzed retrospectively.30 patients were treated by ultrasound knife and other 30 patintes were treated by hypercator. Results The operating time,the haemorrhage volume and incision length in ultrasound knife group were all lower than hypercator group significantly(P＜0.05).The postoperative complications in ultrasound knife group was lower than hypercator group(P＜0.05). Conclusion Using ultrasound knife in glandula thyreoidea operations can reduce the operating time, haemorrhage volume and incision length and decrease the postoperative complications.It is a safe and effective operation method.

[Key words] Ultrasound knife;Hypercator;Glandula thyreoidea operation

甲状腺疾病是临床外科的常见病之一。大部分需行外科手术治疗。但由于甲状腺区域的血供丰富，解剖较为复杂，手术空间相对狭小，而使得传统的甲状腺手术切口较大，出血较多，手术时间较长。因而在甲状腺外科手术中，不断探索最佳的手术方法成为外科医生不懈的追求