国际外科学杂志
國際外科學雜誌
국제외과학잡지
International Journal of Surgery
2015年
8期
526-528,封3
,共4页
甲状腺拉钩%腔镜%甲状腺切除术%疗效比较研究%手术后期间
甲狀腺拉鉤%腔鏡%甲狀腺切除術%療效比較研究%手術後期間
갑상선랍구%강경%갑상선절제술%료효비교연구%수술후기간
Thyroid retractor%Laparoscopic%Thyroidectomy%Comparative effectiveness research%Postoperative period
目的 比较腔镜甲状腺手术时使用自制拉钩与缝扎悬吊法之间的差别,探讨使用自制拉钩的可行性和实用性.方法 对比2012年1月-2013年6月门诊收治的59例甲状腺患者的临床资料,男15例、女44例,应用自制腔镜甲状腺拉钩辅助完成腔镜甲状腺手术30例,以缝扎悬吊法辅助完成29例腔镜甲状腺手术为对照,比较两组的手术时间、术中出血量、术后引流量、住院时间和术后近期疗效.结果 拉钩组手术时间(71.57 ±9.56) min少于悬吊组(79.90±10.61)min (P =0.002)、术中出血量(11.83±6.76) mL少于悬吊组(17.24 ±9.41)mL(t=0.014)差异有统计学意义,拉钩组住院时间(4.07 ±0.45)d、悬吊组住院时间(4.14±0.52)d,差异无统计学意义(P=0.573).两组住院时间和术后疼痛不适方面差异无统计学意义,术后均未出现声嘶、呛咳、口角麻木等症状.结论 自制腔镜甲状腺拉钩能缩短手术时间,减少出血量,值得临床推广.
目的 比較腔鏡甲狀腺手術時使用自製拉鉤與縫扎懸弔法之間的差彆,探討使用自製拉鉤的可行性和實用性.方法 對比2012年1月-2013年6月門診收治的59例甲狀腺患者的臨床資料,男15例、女44例,應用自製腔鏡甲狀腺拉鉤輔助完成腔鏡甲狀腺手術30例,以縫扎懸弔法輔助完成29例腔鏡甲狀腺手術為對照,比較兩組的手術時間、術中齣血量、術後引流量、住院時間和術後近期療效.結果 拉鉤組手術時間(71.57 ±9.56) min少于懸弔組(79.90±10.61)min (P =0.002)、術中齣血量(11.83±6.76) mL少于懸弔組(17.24 ±9.41)mL(t=0.014)差異有統計學意義,拉鉤組住院時間(4.07 ±0.45)d、懸弔組住院時間(4.14±0.52)d,差異無統計學意義(P=0.573).兩組住院時間和術後疼痛不適方麵差異無統計學意義,術後均未齣現聲嘶、嗆咳、口角痳木等癥狀.結論 自製腔鏡甲狀腺拉鉤能縮短手術時間,減少齣血量,值得臨床推廣.
목적 비교강경갑상선수술시사용자제랍구여봉찰현조법지간적차별,탐토사용자제랍구적가행성화실용성.방법 대비2012년1월-2013년6월문진수치적59례갑상선환자적림상자료,남15례、녀44례,응용자제강경갑상선랍구보조완성강경갑상선수술30례,이봉찰현조법보조완성29례강경갑상선수술위대조,비교량조적수술시간、술중출혈량、술후인류량、주원시간화술후근기료효.결과 랍구조수술시간(71.57 ±9.56) min소우현조조(79.90±10.61)min (P =0.002)、술중출혈량(11.83±6.76) mL소우현조조(17.24 ±9.41)mL(t=0.014)차이유통계학의의,랍구조주원시간(4.07 ±0.45)d、현조조주원시간(4.14±0.52)d,차이무통계학의의(P=0.573).량조주원시간화술후동통불괄방면차이무통계학의의,술후균미출현성시、창해、구각마목등증상.결론 자제강경갑상선랍구능축단수술시간,감소출혈량,치득림상추엄.
Objective To compare the difference between self-made retractor and thyroid suspension in laparoscopic thyroidectomy,as well as exploring the feasibility and efficacy of self-made retractor.Methods Fifty nine thyroid patients were included in this study from Jan.2012 to Jun.2013 in our hospital.30 cases of laparoscopic thyroidectomy were completed by the help of self-made retractor while 29 cases were completed with thyroid suspension.The owration time,blood loss,drainage flow,hospital stays and short term effect were compared.Result The average operation time of retractor group (71.57 ± 9.56) min was shorter than the suspension group (79.90 ±10.61) min (P =0.002) The blood loss of retractor group (11.83 ±6.76) mL was less than the suspension group (17.24 ± 9.41) mL (P =0.014).The hospitalization time of retractor group (4.07 ± 0.45) days was similar with the suspension group (4.14 ± 0.52) min (P =0.573),The retractor group had shorter operation time,blood loss.There was statistical significance between them.There was no significance difference of hospital stays and discomfort.Neither group appeared of hoarseness,bucking,angulus oris numbness and other symptom.Conclusion Self-made retractor can reduce the operation time,blood loss.It is worth of clinical extension.
