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1、甲状腺手术中超声刀的应用朱永军杨见明许海艳周好(安徽医科大学第二附属医院耳鼻咽喉头颈外科230601)【摘要】目的探讨超声刀在开放性甲状腺手术中的临床应用。方法收集我科2009年1月至2012年6月完成的甲状腺手术186例，其中超声刀手术(超声刀组)94例、传统手术(传统组)92例。比较两组的手术时间、术中出血量、切口长度、术后引流量和术后并发症情况。结果超声刀组手术时间为(60.23±0.97)min,传统手术组为(95.12±1.35)min,平均缩短34.89min,两组比较差异有统计学意义(P<0
2、.O5>,超声刀组术中出血量为(16.81±0.63}ml,传统手术组为(51.80±0.64)ml,平均减少34.99ml,两组比较差异有统计学意义(p<0.05),超声刀组手术切口长度(4.33±0.06)cm,传统手术组为(9.45±0.11)cm，平均缩短5.12cm,两组比较差异有统计学意义(p<O.05),术后引流量、术后并发症比较差异均无统计学意义(P>0.05)。结论应用超声刀行开放性甲状腺手术安全可靠，可明显缩少手术时间，减少术中出血量，缩小手术切
3、口。【关键词】甲状腺切除术超声刀临床应用【中图分类号】R608【文献标识码】A【文章编号】2095-1752(2012)22-0112-02Clinicalapplicationofultrasonic-harmonicscalpelinhyperthyroidismthyroidectomy.Zhuyong-jun,Yangjian-mingXuhai-yanZhouhao.DepartmentofOtolaryngologyHeadandnecksurgery,TheSecondAffiliatedHospitalofAnhuiMed
4、icalUniversity,Hefei230601Anhui,CHINA【Abstract】ObjectiveToinvestigatethevalueofultrasonic-harmonicscalpelinopenhyperthyroidismthyroidectomy.MethodsFromJanuary2009toJune2012，186patientsweretreatedththyroidectomybythesameoperationteam，including94casesreceivingUHSthyroidecto
5、my(UHSgroup)and92casesundergoingconventionalthyroidectomy(theconventionalgroup).Theoperationtime，intraoperativebleedingvolume，thelengthofincision,postoperativedrainingvolumeandpostoperativecomplicationswerecomparedbetweenthetwogroups.ResultsThemeanoperatingtimeintheUHSgro
6、upwas(60.23±0.97)min，whichis34.89mininmeanshorterthanthatintheconventionalgroup(95.12±1.35)min.ThemeanquantityofintraoperativebleedingvolumeintheUHSgroupwas(16.81±0.63)ml,34.99mllessthanthatintheconventionalgroup(51.80±0.64)ml.Themeanlengthofin
7、cisioninUHSgroupwas(4.33±0.06)cm,5.12cmsmallerthanthatintheconventionalgroup(9.45±0.11)cm.Nostatisticallysignificantdiferencewerefoundindrainingandpostoperativecomplicationsbetweenthetwogroups(P>0.05).ConclusionComparedwithconventionalmethod,theuseofUHSin
8、thyroidectomyissaferandmoreefective.ltcanshortenthelengthofincision.reducetheoperationtimeandthe
