CAJ | 학술논문

目的：比较LigaSure血管闭合系统、超声刀及单极高频电刀在开放性甲状腺手术中的临床治疗效果。方法收集该院序贯入院并符合纳入标准的甲状腺手术患者293例，按随机数字表法分为3组，LigaSure血管闭合系统手术组（LigaSure组）98例、超声刀手术组（超声刀组）100例、单极高频电刀组（电刀组）95例，分别比较3组手术患者的术中和术后情况。结果 Li‐gaSure组及超声刀组的患者的手术时间、术中出血量和术后引流量均明显少于电刀组（P＜0．05），且减轻了患者的痛苦、减少了患者的住院时间（P＜0．05），促进了患者的术后恢复；而LigaSure组及超声刀组患者之间差异无统计学意义（P＞0．05）。结论LigaSure血管闭合系统和超声刀在开放性甲状腺手术中可缩短手术时间、减少术中出血和术后引流，减轻疼痛，减少住院时间。
목적：비교LigaSure혈관폐합계통、초성도급단겁고빈전도재개방성갑상선수술중적림상치료효과。방법수집해원서관입원병부합납입표준적갑상선수술환자293례，안수궤수자표법분위3조，LigaSure혈관폐합계통수술조（LigaSure조）98례、초성도수술조（초성도조）100례、단겁고빈전도조（전도조）95례，분별비교3조수술환자적술중화술후정황。결과 Li‐gaSure조급초성도조적환자적수술시간、술중출혈량화술후인류량균명현소우전도조（P＜0．05），차감경료환자적통고、감소료환자적주원시간（P＜0．05），촉진료환자적술후회복；이LigaSure조급초성도조환자지간차이무통계학의의（P＞0．05）。결론LigaSure혈관폐합계통화초성도재개방성갑상선수술중가축단수술시간、감소술중출혈화술후인류，감경동통，감소주원시간。
Objective To compare the clinical therapeutic effect of LigaSure vessel sealing system ,ultrasonic scalpel and mo‐nopolar high frequency electrocautery in open thyroid operation .Methods 293 cases of thyroid operation sequentially admitted in our hospital and in accordance with the inclusion criteria were collected and divided into three groups by the method of random dig ‐its table .There were 98 cases in the LigaSure vessel sealing system group (L‐Sure group) ,100 cases in the ultrasonic scalpel (US group) and 95 cases in the monopolar high frequency electrocautery (M‐E group) .The intraoperative and postoperative conditions were compared among 3 groups .Results The operation time ,intraoperative amount of bleeding and postoperative drainage in the L‐S group and the US group were significantly less than those in the M‐E group (P<0 .05) ,moreover the patient′s pain and the hos‐pitalization stay were reduced and the postoperative recovery was promoted (P<0 .05);but the differences between the L‐S group and the US group had no statistical significance (P>0 .05) .Conclusion The LigaSure vessel sealing system and ultrasonic scalpel can shorten the operation time ,reduce the amount of bleeding and postoperative drainage ,relieve pain and reduce the hospitalization duration .