CAJ | 학술논문

目的：探讨在开放性小切口甲状腺切除术中超声刀的应用效果。方法选择2012年至2013年在我院进行甲状腺叶次全切手术的甲状腺肿瘤和结节性甲状腺患者120例，分为观察组和对照组，每组60例。观察组应用超声刀甲状腺切除术，对照组应用传统的甲状腺手术方法，对比两组的治疗效果。结果两组患者在术后引流量以及肿瘤最大直径方面差异不具有统计学意义(P>0.05)，但在其他指标方面，观察组明显优于对照组，差异具有统计学意义(孕<0.05)。结论在开放性小切口甲状腺切除术中应用超声刀，操作简便，止血有效，具有较高的实用价值，值得临床推广。
목적：탐토재개방성소절구갑상선절제술중초성도적응용효과。방법선택2012년지2013년재아원진행갑상선협차전절수술적갑상선종류화결절성갑상선환자120례，분위관찰조화대조조，매조60례。관찰조응용초성도갑상선절제술，대조조응용전통적갑상선수술방법，대비량조적치료효과。결과량조환자재술후인류량이급종류최대직경방면차이불구유통계학의의(P>0.05)，단재기타지표방면，관찰조명현우우대조조，차이구유통계학의의(잉<0.05)。결론재개방성소절구갑상선절제술중응용초성도，조작간편，지혈유효，구유교고적실용개치，치득림상추엄。
Objective To explore the clinical effect of ultrasonic scalpel in the open mini-incision thyroidectomy. Methods One hundred and twenty patients with thyroid tumor or tuberous thyroid treated with total lobectomy of thyroid in our hospital from 2012 to 2013 were selected. All cases were divided into two groups, with 60 cases in each group. Patients in the observation group received thyroidectomy with ultrasonic scalpel, while patients in the control group received conventional thyroidectomy. The clinical effects of two groups were compared. Results The two groups had no statistical difference in postoperative drainage and greatest tumor diameter, but the observation group was superior to the control group in other indicators (P <0.05). Conclusions Ultrasonic scalpel used in the open mini-incision thyroidectomy is easy to operate, and effective to stop bleeding. It has high practical value, and is worthy of clinical promotion.