摘要
目的探讨双极电凝镊在老年人巨大甲状腺肿手术中的应用效果及安全性。方法回顾性分析2017年10月至2018年12月滨州医学院烟台附属医院收治的18例老年巨大甲状腺肿患者的临床资料,主要包括手术时间、住院时间、术中出血量及相关并发症等。结果18例患者中13例行甲状腺大部除术,5例行全切术;其中3例行气管悬吊术,1例行气管切开术。手术时间55~110(57.3±11.6)min,术中出血量30~80(39.8±27.1)ml,住院时间7~11(7.8±2.6)d;术后一过性声音嘶哑3例,永久性声音嘶哑1例,暂时性低钙血症2例,永久性低钙血症1例。无围手术期死亡患者。结论双极电凝镊应用于老年巨大甲状腺肿的手术治疗是安全、有效的,值得基层推广应用。
Objective To investigate the effect and safety of bipolar electrocoagulation in the operation of giant goiter in the elderly.Methods From October 2014 to September 2018,18 elderly patients with giant goiter admitted to Yantai Affiliated Hospital of Binzhou Medical University were slected.The clinical data were retrospectively analyzed,including the operation time,hospitalization time,intraoperative blood loss and related complications.Results Among them,13 underwent thyroidectomy and 5 underwent total resection.Three of them underwent tracheal suspension and one underwent tracheotomy.The operation time was 55~110(57.3±11.6)min,the intraoperative blood loss was 30~80(39.8±27.1)ml,the hospitalization time was 7~11(7.8±2.6)d.There were 3 cases of transient hoarseness,1 case of permanent hoarseness,2 cases of temporary hypocalcemia and 1 case of permanent hypocalcemia.There were no perioperative deaths.Conclusion Bipolar electrocoagulation is safe and effective for the treatment of elderly giant goiter,and it is worthy popularizing and applying.
作者
曹卫刚
杨振林
Cao Weigang;Yang Zhenlin(Thyroid&Breast Surgery,Yantai Affiliated Hospital of Binzhou Medical University,Yantai 264100,China)
出处
《中华老年病研究电子杂志》
2019年第3期47-49,共3页
Chinese Journal of Geriatrics Research(Electronic Edition)
基金
山东省自然科学基金(ZR2017MH033)
烟台市重点研发计划项目(2019YD063).
关键词
甲状腺肿
双极电凝镊
外科治疗
Goiter
Bipolar electrocoagulation forceps
Surgical treatment
