摘要
目的探讨超声刀辅助低位小切口甲状腺手术的临床优势。方法回顾分析本院收治且具有完整病例资料的120例行甲状腺手术的患者,所有患者资料从符合纳入标准的患者中随机抽取,分为改进组和传统组,每组60例,传统组行传统手术,改进组采用超声刀辅助低位小切口手术,比较两组的手术切口长度、术中出血量、手术时间、术后引流量、并发症发生率、术后住院时间、术后疼痛VAS值及随访情况。结果改进组手术时间为(51.5±13.4)min,切口长度为(5.0±0.6)cm,平均出血量为(40.8±7.9)mL,术后引流量为(35.1±6.6)mL,术后住院时间为(4.7±1.1)d,术后24h疼痛VAS值为(18.2±11.4),两组各指标差异具有显著的统计学意义,改进组各指标均优于传统组(P<0.01)。结论超声刀辅助低位小切口甲状腺手术替代传统手术是可行的,其适应证与传统手术组基本相同,但具有切口小、出血少、并发症少、术后患者恢复快,手术时间短,手术的难度小,有良好的治疗和美容效果的优势,不过仍应做好术前检查和术中探查、正确术式及规范化术后辅助甲状腺激素替代治疗,才能最大发挥其临床价值。
Objective To investigate the clinical advantages of low harmonic scalpel-assisted small incision thyroid surgery. Methods Make a retrospective analysis of 120 patients implementation of the thyroid surgery, which had complete clinical data and extracted randomly from patients meeting the inclusion criteria. They were divided into improve groups and traditional groups, each group of 60 cases, traditional group underwent conventional surgery, the improve group used low harmonic scalpel-assisted small incision surgery, the incision length, blood loss, operative time, postoperative drainage, the incidence of complications, postoperative hospital stay, postoperative pain VAS values and follow-up case of two groups were compared. Results The improved group were better than the traditional group, which operative time was （ 51.5 ±13.4 ）min, incision length was （ 5.0 ± 0.6 ）cm, average blood loss was （ 40.8 ± 7.9 ） mL, postoperative drainage was （ 35.1± 6.6 ） mL, postoperative hospital stay was （ 4.7 ± 1.1 ） d, surgery VAS pain after 24h was （ 18.2 ± 11.4 ）, all of them had significant differences （ P 〈 0.01 ）. Conclusion The low harmonic scalpel-assisted small incision surgery, thyroid surgery is a viable alternative for the tradition group, have same indications whih traditional surgery, But had the following advantages, small incision, less bleeding, fewer complications, faster postoperative recovery, shorter operative time, difficulty of surgery is small, there is good treatment and cosmetic results. However, patients should do the preoperative and intraoperative exploration, correct and standardized surgical adjuvant thyroid hormone replacement therapy, in order to maximize its clinical value.
出处
《中国现代医生》
2011年第28期35-37,61,共4页
China Modern Doctor
关键词
超声刀
低位小切口
甲状腺
甲状腺激素
预后
Harmonic scalpel
A small incision low
Thyroid
Thyroid hormone
Prognosis
