CAJ | 학술논문

目的：通过随机化对照研究，评价射频电波刀在头颈部手术中的临床应用价值。方法选择头颈部手术患者60例，随机均分为射频电波刀组与传统手术刀组。测量切口长度、记录出血点数及所用时间，并随访观察术后7d、1月、半年时切口愈合情况等指标评价手术效果。结果射频电波刀组在手术时单位切口长度内出血较少，所用时间较短，差异有统计学意义(P<0．05)。术后1周时两组伤口愈合均良好，术后1月、半年两组伤口瘢痕差异无统计学意义(P>0．05)。结论射频电波刀在头颈部手术中能有效控制出血、节省手术时间，应用射频电波刀的伤口可以达到和传统手术刀同等的愈合效果。
목적：통과수궤화대조연구，평개사빈전파도재두경부수술중적림상응용개치。방법선택두경부수술환자60례，수궤균분위사빈전파도조여전통수술도조。측량절구장도、기록출혈점수급소용시간，병수방관찰술후7d、1월、반년시절구유합정황등지표평개수술효과。결과사빈전파도조재수술시단위절구장도내출혈교소，소용시간교단，차이유통계학의의(P<0．05)。술후1주시량조상구유합균량호，술후1월、반년량조상구반흔차이무통계학의의(P>0．05)。결론사빈전파도재두경부수술중능유효공제출혈、절성수술시간，응용사빈전파도적상구가이체도화전통수술도동등적유합효과。
Objective To evaluate the clinical value of radiofrequency electrosurgical scalpel in head and neck surgery. Methods Sixty patients undergoing head and neck operation were randomly equally divided into 2 groups radiofrequency electro-surgical scalpel groups and traditional scalpel. The parameters including cut length,hemorrhagic spots,consuming time during the operation. Healing and scar of cut were evaluated at 1 week,1 month,6 months after the operation. Results Radiofrequency elec-trosurgical scalpel group use less time and result less hemorrhage than traditional scalpel group(P<0. 05). There was no signifi-cant difference in healing and scar of cut at 1 week,1 month,6 months after the operation(P>0. 05). Conclusion Radiofre-quency electrosurgical scalpel can effective reduce hemorrhage and save operating time and has the same effect as traditional scal-pel in head and neck surgery.