CAJ | 학술논문

目的：观察比较在开放性及腹腔镜下运用超声刀进行甲状腺切除术的临床疗效。方法选取在我科接受治疗的136例甲状腺疾病患者作为本次的观察对象，随机分成两组，一组使用超声刀辅助开放切除即为开放组，56例；另一组使用超声刀辅助腹腔镜切除即为腹腔镜组，80例。详细观察并记录两组患者手术时间、手术切口大小、手术出血量以及手术后24 h 引流量、肿瘤大小等指标，分析比较所得资料，并对患者术后出现的相关并发症情况进行分析。结果全部患者手术成功，相关观察指标数据如下，伤口长度：（6．12±0．83） cm vs （3．15±0．52） cm，术中平均出血量：（18．96±11．83） mL vs （23．5±8．58） mL，手术平均时间：（40．33±10．72） min vs （96．9±20．53） min，术后24 h 伤口平均引流量：（25．28±18．91） mL vs （31．86±15．11） mL，肿物大小：（3．83±1．92） cm vs （2．56±1．57） cm，超声刀辅助开放甲状腺切除术组与腹腔镜组比较，差异均有统计学意义（P＜0．05）。结论在开放式或腹腔镜手术中使用超声刀，都能达到更佳的止血效果以及准确的组织切割能力，有效提高整体治疗有效率，帮助患者提高生存质量，值得临床推广使用。
목적：관찰비교재개방성급복강경하운용초성도진행갑상선절제술적림상료효。방법선취재아과접수치료적136례갑상선질병환자작위본차적관찰대상，수궤분성량조，일조사용초성도보조개방절제즉위개방조，56례；령일조사용초성도보조복강경절제즉위복강경조，80례。상세관찰병기록량조환자수술시간、수술절구대소、수술출혈량이급수술후24 h 인류량、종류대소등지표，분석비교소득자료，병대환자술후출현적상관병발증정황진행분석。결과전부환자수술성공，상관관찰지표수거여하，상구장도：（6．12±0．83） cm vs （3．15±0．52） cm，술중평균출혈량：（18．96±11．83） mL vs （23．5±8．58） mL，수술평균시간：（40．33±10．72） min vs （96．9±20．53） min，술후24 h 상구평균인류량：（25．28±18．91） mL vs （31．86±15．11） mL，종물대소：（3．83±1．92） cm vs （2．56±1．57） cm，초성도보조개방갑상선절제술조여복강경조비교，차이균유통계학의의（P＜0．05）。결론재개방식혹복강경수술중사용초성도，도능체도경가적지혈효과이급준학적조직절할능력，유효제고정체치료유효솔，방조환자제고생존질량，치득림상추엄사용。
Objective To observe and compare the clinical curative effect of open and laparoscopic thyroidectomy by using ultra-sonic scalpel.Methods 136 cases of patients with thyroid disease treated in our department were selected as the object of observa-tion.They were randomly divided into two groups: open group (56 cases with the ultrasonic scalpel assisted by open resection) and laparoscopic group (80 cases with ultrasonic scalpel assisted by laparoscopic resection).The two groups of patients were observed and recorded in detail concerning such indicators as operation time, incision size, the amount of hemorrhage and postoperative drainage 24h after surgery, tumor size.The data obtained were analyzed and compared, and the related postoperative complications in patients were analyzed.Results All patients were given successful surgeries, and the following relevant index data were observed, wound length: (6.12±0.83) cm vs.(3.15±0.52) cm, average bleeding volume during operation: (18.96±11.83) mL vs.(23.5± 8.58) mL, the average operative time (40.33±10.72) min vs.(96.9±20.53) min, postoperative 24 h wound average drainage vol-ume: (25.28±18.91) mL vs.(31.86±15.11) mL, tumor size: (3.83±1.92) cm vs.(2.56 1.57) cm.The comparison of the open group and the laparoscopic group showed the difference was statistically significant (P<0.05).Conclusion Using ultrasonic scalpel in open or laparoscopic surgery is worthy of wide clinical application for the better hemostatic effect, accurate tissue cutting, o-verall treatment efficiency and improvement of life quality of patients.