中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
32期
31-31,33
,共2页
纳米碳%甲状腺癌%甲状旁腺%保护%应用价值
納米碳%甲狀腺癌%甲狀徬腺%保護%應用價值
납미탄%갑상선암%갑상방선%보호%응용개치
Nano carbon%Thyroid carcinoma%Parathyroid glands%Protection%Application value
目的：探讨纳米碳在甲状腺癌手术中对甲状旁腺保护的应用价值。方法：收治甲状腺癌患者88例，随机分成纳米碳组和对照组。对照组行甲状腺腺叶或甲状腺全切除，纳米碳组采用纳米碳黑染淋巴结后行甲状腺腺叶或甲状腺全切除。结果：纳米碳组无甲状旁腺误切，对照组甲状旁腺误切率20.5%，两组比较，差异具有统计学意义(P＜0.05)。纳米碳组侧颈部淋巴结切除(10±5)个，中央区颈部淋巴结切除(10±4)个，对照组侧颈部淋巴结切除(6±4)个，中央区颈部淋巴结切除(6±3)个，两组比较，差异有统计学意义(P＜0.05)。结论：纳米碳能够清晰地显示甲状旁腺，避免术中误切甲状旁腺，对保护甲状旁腺起到了较好的临床效果。
目的：探討納米碳在甲狀腺癌手術中對甲狀徬腺保護的應用價值。方法：收治甲狀腺癌患者88例，隨機分成納米碳組和對照組。對照組行甲狀腺腺葉或甲狀腺全切除，納米碳組採用納米碳黑染淋巴結後行甲狀腺腺葉或甲狀腺全切除。結果：納米碳組無甲狀徬腺誤切，對照組甲狀徬腺誤切率20.5%，兩組比較，差異具有統計學意義(P＜0.05)。納米碳組側頸部淋巴結切除(10±5)箇，中央區頸部淋巴結切除(10±4)箇，對照組側頸部淋巴結切除(6±4)箇，中央區頸部淋巴結切除(6±3)箇，兩組比較，差異有統計學意義(P＜0.05)。結論：納米碳能夠清晰地顯示甲狀徬腺，避免術中誤切甲狀徬腺，對保護甲狀徬腺起到瞭較好的臨床效果。
목적：탐토납미탄재갑상선암수술중대갑상방선보호적응용개치。방법：수치갑상선암환자88례，수궤분성납미탄조화대조조。대조조행갑상선선협혹갑상선전절제，납미탄조채용납미탄흑염림파결후행갑상선선협혹갑상선전절제。결과：납미탄조무갑상방선오절，대조조갑상방선오절솔20.5%，량조비교，차이구유통계학의의(P＜0.05)。납미탄조측경부림파결절제(10±5)개，중앙구경부림파결절제(10±4)개，대조조측경부림파결절제(6±4)개，중앙구경부림파결절제(6±3)개，량조비교，차이유통계학의의(P＜0.05)。결론：납미탄능구청석지현시갑상방선，피면술중오절갑상방선，대보호갑상방선기도료교호적림상효과。
Objective:To investigate the application value of nano carbon for the protection of parathyroid glands in thyroid carci-noma surgery.Methods:88 cases of patients with thyroid carcinoma were randomly divided into the nano carbon group and the con-trol group.The control group underwent the resection of thyroid gland and thyroid,the nano carbon group underwent the resection of thyroid gland and thyroid after lymph nodes staining black using nano carbon.Results:There was no parathyroid glands removed incorrectly in the nano carbon group and the incorrect removed rate of parathyroid glands in the control group was 20.5%,the dif-ference was statistically significant(P<0.05).The dissection of lateral cervical lymph nodes in the nano carbon group were (10± 5) and the dissection of central neck lymph nodes were (10±4),the dissection of lateral cervical lymph nodes in the control group were (6±4) and the dissection of central neck lymph nodes were (6±3),the difference was statistically significant(P<0.05).Con-clusion:Nano carbon could display the parathyroid glands clearly and avoid the intraoperative parathyroid glands incorrect re-moved,which had better clinical effect to protect the parathyroid glands.
