超声刀联合双极电凝在开放甲状腺手术中的临床应用

目的:探讨超声刀联合双极电凝在开放式甲状腺手术中的临床应用价值。方法:选取我科2015年1月至2016年12月收治的224例甲状腺肿瘤患者,随机分为2组,A组112例患者采用超声刀和双极电凝进行手术,B组112例采用传统丝线结扎方法,2组均为开放式甲状腺手术。比较两组患者的手术时间、术中出血量、术后引流管拔出时间、住院时间以及术后并发症发生率。结果:A组手术时间、术中出血量、术后引流管拔出时间、住院时间分别为(58.7±10.5)min、(17.1±7.1)m L、(2.8±0.3)d、(8.8±0.5)d,均低于B组的(78.6±11.7)min、(41.5±8.2)m L、(3.9±0.3)d、(11.1±0.6)d,差异有统计学意义(P0.05);A组术后总并发症发生率为4.46%(5/112),低于B组的11.61%(13/112),差异有统计学意义(P0.05)。结论:在开放式甲状腺手术中使用超声刀联合双极电凝,可明显提高手术效果,降低术后并发症的发生率,从而提升甲状腺手术的安全性。

Clinical Application of Ultrasonic Scalpel Combined with Bipolar Coagulation in Open Thyroid Surgery

ABSTRACT Objective: To explore the clinical application value of ultrasonic scalpel combined with bipolar coagulation in open thyroid surgery. Methods: A total of 224 patients with thyroid tumor, who were admitted in Liuzhou People''s Hospital Affiliated to Guangxi University of Science and Technology from January 2015 to December 2016, were selected and were randomly divided into two groups. The patients in Group A(n=112) were operated on by ultrasonic scalpel and bipolar coagulation; the patients in Group B(n=112), by traditional thread ligation. The two groups were all treated by open thyroid surgery. The operation time, intraoperative blood loss,postoperative drainage time, hospitalization time and postoperative complications were observed and compared between the two groups.Results: The operation time(58.7±10.5)min, intraoperative blood loss(17.1±7.1)mL, postoperative drainage time (2.8±0.3)d, and hospitalization time (8.8±0.5)d in Group A were lower than those (78.6±11.7)min, (41.5±8.2)mL, (3.9±0.3)d, and (11.1±0.6)d] in Group B, the differences were statistically significant (P<0.05). The incidence of postoperative complications4.46% (5/112)] in Group A was lower than that11.61% (13/112)] in Group B, and the difference was statistically significant (P<0.05). Conclusion: The application of ultrasonic scalpel and bipolar coagulation in open thyroid surgery can obviously improve the effect of operation, reduce the incidence of postoperative complications, and improve the safety of thyroid surgery.