CAJ | 학술논문

目的探讨超声刀与电刀在开放性甲状腺手术中的临床应用效果.方法对行甲状腺手术的182例患者的临床资料进行回顾性分析,其中超声刀组患者100例,采用超声刀方式进行手术；电刀组患者82例,采用电刀方式进行手术,对两组患者手术平均切口长度、手术平均时间、手术平均出血量及术后并发症发生情况进行对比分析.结果超声刀组患者平均手术切口长度为(36.7±6.1)mm、甲状腺切除术时间为(25.3±5.1) min及术中出血量为(14.2 ±5.1)ml,均明显低于电刀组(P＜0.05)；两组不良反应发生率比较差异无统计学意义(P＞0.05).结论与电刀相比,利用超声刀进行甲状腺手术,不仅可以明显减少术中出血量,同时还可以缩短手术时间,同时其愈后良好,临床疗效较高,值得在临床中进一步推广使用.
목적 탐토초성도여전도재개방성갑상선수술중적림상응용효과.방법 대행갑상선수술적182례환자적림상자료진행회고성분석,기중초성도조환자100례,채용초성도방식진행수술；전도조환자82례,채용전도방식진행수술,대량조환자수술평균절구장도、수술평균시간、수술평균출혈량급술후병발증발생정황진행대비분석.결과 초성도조환자평균수술절구장도위(36.7±6.1)mm、갑상선절제술시간위(25.3±5.1) min급술중출혈량위(14.2 ±5.1)ml,균명현저우전도조(P＜0.05)；량조불량반응발생솔비교차이무통계학의의(P＞0.05).결론 여전도상비,이용초성도진행갑상선수술,불부가이명현감소술중출혈량,동시환가이축단수술시간,동시기유후량호,림상료효교고,치득재림상중진일보추엄사용.
Objective To investigate the clinical effect of the ultrasonic scalpel and electric knife in open thyroid surgery.Methods The clinical data of 182 patients underwent thyroid surgery were retrospectively analyzed.100 cases in the observation group were used the ultrasonic scalpel surgery and 82 patients in the control group were given electric knife surgery.The average surgical incision length,mean operative time,mean blood loss and postoperative complications were compared between the two groups.Results The average incision length of the observation group was (36.7 ± 6.1)mm,average time of thyroidectomy was (25.3 ± 5.1)min and blood loss was (14.2 ± 5.1)ml,which were significantly lower than those of the control group (P ＜ 0.05).The incidence rate of adverse reaction between the two groups had no significant difference(P ＞ 0.05).Conclusion Compared with electric knife,the use of ultrasonic scalpel in thyroid surgery can significantly reduce blood loss,shorten the operation time,the prognosis and clinical efficacy is good,it is worth to be further promoted in clinical.