CAJ | 학술논문

目的：观察超声刀结合双极电凝镊在开放甲状腺手术中应用效果。方法采用整群随机抽样的方法选取甲状腺手术患者80例，依据治疗方法将这些患者分为两组，即研究组（n ＝40）和对照组（n ＝40）。给予对照组患者超声刀结合传统丝线结扎方法治疗，给予研究组患者超声刀结合双极电凝镊治疗，然后对两组患者的手术相关指标及并发症发生情况进行统计分析。结果和对照组（90．5±3．6）min、（6．5±0．6）d、（40．5±2．0）mL、（50．3±1．4）mL、（6．6±0．5）cm 相比，研究组患者的手术时间、住院时间（58．5±5．4）min、（3．4±0．2）d 均显著较短（t ＝6．965，3．143，均 P ＜0．05），术中出血量、术后引流量（5．0±1．4）mL、（1．0±0.6）mL 均显著较少（t ＝4．541，3．747，均 P ＜0．05），切口直径（3．8±0．3）cm 显著较短（t ＝3．365，P ＜0．05），并发症发生率2．5％（1／40）显著低于对照组10．0％（4／40）（χ2＝9．35，P ＜0．05）。结论超声刀结合双极电凝镊在开放甲状腺手术中应用效果显著。
목적：관찰초성도결합쌍겁전응섭재개방갑상선수술중응용효과。방법채용정군수궤추양적방법선취갑상선수술환자80례，의거치료방법장저사환자분위량조，즉연구조（n ＝40）화대조조（n ＝40）。급여대조조환자초성도결합전통사선결찰방법치료，급여연구조환자초성도결합쌍겁전응섭치료，연후대량조환자적수술상관지표급병발증발생정황진행통계분석。결과화대조조（90．5±3．6）min、（6．5±0．6）d、（40．5±2．0）mL、（50．3±1．4）mL、（6．6±0．5）cm 상비，연구조환자적수술시간、주원시간（58．5±5．4）min、（3．4±0．2）d 균현저교단（t ＝6．965，3．143，균 P ＜0．05），술중출혈량、술후인류량（5．0±1．4）mL、（1．0±0.6）mL 균현저교소（t ＝4．541，3．747，균 P ＜0．05），절구직경（3．8±0．3）cm 현저교단（t ＝3．365，P ＜0．05），병발증발생솔2．5％（1／40）현저저우대조조10．0％（4／40）（χ2＝9．35，P ＜0．05）。결론초성도결합쌍겁전응섭재개방갑상선수술중응용효과현저。
Objective To investigate the application effects of ultrasonic scalpel combined with bipolar coag-ulation tweezers on open thyroid surgery.Methods 80 cases of thyroidectomy patients were randomly selected.These patients were divided into two groups by random cluster sampling method,whch were the study group (n =40)and control group (n =40).The control group of patients were given ultracision ligature methods combined with traditional therapy,while the study group of patients were given ultrasonic scalpel combined with bipolar coagulation tweezers treatment.And then the surgical related indicators and complications of the two groups of patients were statistically an-alyzed.Results Compared with the control group of (90.5 ±3.6)min,(6.5 ±0.6)d,(40.5 ±2.0)mL,(50.3 ± 1.4)mL and (6.6 ±0.5)cm,the operative time and length of stay of the study group of patients[(58.5 ±5.4)min and (3.4 ±0.2)d]were significantly shorter (t =6.965,3.143,all P <0.05);the blood loss and postoperative drainage of (5.0 ±1.4)mL and (1.0 ±0.6)mL were significantly less (t =4.541,3.747,all P <0.05);the cut diameter of (3.8 ±0.3)cm was significantly shorter (t =3.365,P <0.05);the complication rate of 2.5% (1 /40) was significantly lower than the control group 10.0%(4 /40)(χ2 =9.35,P <0.05).Conclusion The application effects of ultrasonic scalpel combined with bipolar coagulation tweezers on open thyroid surgery are obvious.