CAJ | 학술논문

目的：比较超声刀与传统电刀在甲状腺手术中对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，108例采用传统电刀行甲状腺手术，对比两组的手术时间、术中出血、术后引流量、住院时间、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降低手术时间，减少术中出血，利于对喉返神经的辨认。
목적：비교초성도여전통전도재갑상선수술중대후반신경적보호작용。방법104례환자채용초성도행갑상선수술，108례채용전통전도행갑상선수술，대비량조적수술시간、술중출혈、술후인류량、주원시간、후반신경손상병발증발생솔。결과여전통전도조상비，초성도조수술시간、술중출혈균명현강저（P＜0.05），기타방면균무명현차이（P＞0.05）。결론초성도행갑상선수술가명현강저수술시간，감소술중출혈，리우대후반신경적변인。
Objective To compare recurrent laryngeal nerve protection of Harmonic Scalpel and conventional electric scalpel in thyroid surgery. Methods 104 cases using Harmonic Scalpel during thyroidectomy, while 108 cases using conventional electric scalpel. 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. Conclusion Using Harmonic Scalpel can decrease operating time and reduce bleeding, be helpful to identify laryngeal nerve.