CAJ | 학술논문

目的:探讨开放性甲状腺疾病手术中超声刀的应用与喉返神经保护.方法:回顾性分析187例开放性甲状腺良性疾病手术患者的临床资料,据治疗方式分为超声刀组和传统电刀组,比较两组手术时间、术中出血量、术后引流量、术后住时间及声嘶等并发症发生率.结果:超声刀组手术时间、术中出血量均显著少传统电刀组(P<0.05),术后并发症发生率降低(P<0.05),术后住时间及术后引流量两组间无明显差异(P>0.05).结论:开放性甲状腺手术中,合理使用超声刀及有限度显露喉返神经可以缩短手术时间,减少术中出血,减少术后并发症发生率.
목적:탐토개방성갑상선질병수술중초성도적응용여후반신경보호.방법:회고성분석187례개방성갑상선량성질병수술환자적림상자료,거치료방식분위초성도조화전통전도조,비교량조수술시간、술중출혈량、술후인류량、술후주시간급성시등병발증발생솔.결과:초성도조수술시간、술중출혈량균현저소전통전도조(P<0.05),술후병발증발생솔강저(P<0.05),술후주시간급술후인류량량조간무명현차이(P>0.05).결론:개방성갑상선수술중,합리사용초성도급유한도현로후반신경가이축단수술시간,감소술중출혈,감소술후병발증발생솔.
Objective To investigate the value of harmonic scalpel and protection of recurrent laryngeal nerve(RLN) in benign thyroid surgery. Methods Clinical data of 187 patients with benign thyroid diseases were analyzed respectively. All the cases were divided into operation with harmonic scalpel group and with con?ventional electric scalpel group. The operation time, blood loss,postoperative drainage volume, surgical complica?tions and postoperative hospitalization time were compared between the two groups. Results The operation time, blood loss and surgical complications in harmonic scalpel group were less than those in conventional group (P<0.05) There was no significant difference in drainage volume and postoperative hospitalization time between the two groups(P>0.05). Conclusion Use of harmonic scalpel and dissection of RLN in open thyroid sur?gery can reduce operation time, blood loss and postoperative surgical complications.