FOCUS超声刀开放性甲状腺切除术的临床疗效评价

目的探讨FOCUS超声刀开放性甲状腺切除术的临床疗效及应用价值。方法选择2009年7月—2011年5月在我院内分泌血管外科住院手术治疗的199例甲状腺疾病患者作为研究对象,其中传统甲状腺切除术(传统组)110例,FOCUS超声刀甲状腺切除术(FOCUS超声刀组)89例,分别从切口大小、手术时间、术中出血量、术后24 h伤口引流量、手术并发症发生率及术后住院时间进行对比分析。结果 FOCUS超声刀组患者手术均获成功,手术平均时间(42.33±10.72)min,术中平均出血量(18.96±11.83)ml,术后24 h伤口平均引流量(25.28±18.91)ml,术后平均住院时间(5.50±1.22)d,与传统组比较,差异均有统计学意义(P<0.05)。FOCUS超声刀组术后出血(0例)、一过性声音嘶哑(0例)、一过性饮水呛咳(0例)、暂时性低钙抽搐及麻木(0例)的发生率分别与传统组比较,差异均有统计学意义(P<0.05)。结论 FOCUS超声刀在甲状腺切除术中具有明显优势,其并发症少,安全、有效,操作灵活,易于掌握,值得在今后的临床工作中予以推广。

Clinical Evaluation of FOCUS Ultrasound Scalpel in Open Thyroidectomy

Objective To study the clinical effect and application value of FOCUS ultrasound scalpel in open thyroidectomy.Methods Patients underwent thyroid operation in our department from July 2009 to May 2011 were selected as study objects,including 110 cases of conventional thyroidectomy and 89 cases of ultrasound scalpel thyroidectomy.The comparative analysis was made in terms of incision size,operation time,blood loss,postoperative drainage 24 h after operation,post-operative complications and postoperative hospitalized time.Results No statistically significant difference was found between the two groups in such aspects as gender,age,disease formation,tumor size and surgical methods(P>0.05).All the 89 cases of ultrasound scalpel thyroidectomy were successful,the mean operation time was(42.33±10.72)min,mean blood loss was(18.96±11.83)ml,the average postoperative drainage after 24 h was(25.28±18.91)ml,mean postoperative hospitalized time was(5.50±1.22)d.The difference was statistically significant compared with those of the conventional group(P<0.05).In ultrasound scalpel group,no cases showed postoperative blood loss,hoarse voice,drinking bucking,temporary cramp.The difference was statistically significant compared with those of the conventional group(P<0.05).Conclusion Compared with conventional method,FOCUS ultrasound scalpel has obvious advantages in thyroidectomy with fewer complications.As a method with more flexibility and facility,its application can be promoted clinically.