CAJ | 학술논문

目的：比较超声刀与传统电刀在甲状腺手术中对患者喉返神经的保护作用。方法104例患者采用超声刀行甲状腺手术（超声刀组），108例采用传统电刀行甲状腺手术（传统电刀组），对比两组患者的手术时间、术中出血量、术后引流量、住院时间和喉返神经损伤并发症发生率。结果与传统电刀组相比，超声刀组手术时间、术中出血量均明显降低（P＜0.05），其他方面均无明显差异（ P＞0.05）。结论超声刀行甲状腺手术可明显缩短患者手术时间，减少术中出血量，利于术者对喉返神经的辨认。
목적：비교초성도여전통전도재갑상선수술중대환자후반신경적보호작용。방법104례환자채용초성도행갑상선수술（초성도조），108례채용전통전도행갑상선수술（전통전도조），대비량조환자적수술시간、술중출혈량、술후인류량、주원시간화후반신경손상병발증발생솔。결과여전통전도조상비，초성도조수술시간、술중출혈량균명현강저（P＜0.05），기타방면균무명현차이（ P＞0.05）。결론초성도행갑상선수술가명현축단환자수술시간，감소술중출혈량，리우술자대후반신경적변인。
Objective To compare recurrent laryngeal nerve protection of harmonic scalpel and conventional electric scalpel in thyroid surgery.Methods 104 cases used harmonic scalpel during thyroidectomy ,while 108 cases used conventional electric scalpel .Operation time, intraoperative blood lose , drainage volume after operation , hospitalization time and the complication probability rate of recurrent laryn-geal nerve damage were compared .Results Compared with the conventional group , the operating time , intraoperative bleeding in harmonic scalpel group were less(P<0.05), but there was no difference in other aspects (P>0.05).Conclusion Using harmonic scalpel can de-crease operating time and reduce bleeding , and be helpful to identify laryngeal nerve .