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超声刀在开放性小切口甲状腺切除术中的应用
引用本文:储冰峰,张生来,刘颖斌,全志伟,张文杰.超声刀在开放性小切口甲状腺切除术中的应用[J].新医学,2011,42(1):23-26.
作者姓名:储冰峰  张生来  刘颖斌  全志伟  张文杰
作者单位:1. 浙江温州医学院,325035
2. 上海交通大学医学院附属新华医院普外科,200092
摘    要:目的:探讨超声刀在开放性小切口甲状腺切除术中的应用技术及效果。方法:612例甲状腺肿瘤患者,均采用超声刀行开放性小切口甲状腺切除术,分析术后的疗效。结果:所有手术均成功,手术切口2~5 cm,平均4 cm;手术时间25~90 min,平均40 min;术中出血3~60 ml,平均10 ml;术后引流量0~60 ml,平均25 ml;术后住院时间1~3 d,平均2 d。术后无1例出现永久性喉返神经麻痹、低钙性抽搐等并发症。结论:运用超声刀进行开放性小切口甲状腺切除术不仅安全、有效,而且显著缩短手术时间和切口长度,从而减少创伤,同时具有美容效果。

关 键 词:超声刀  甲状腺肿瘤  甲状腺切除术

Clinical experience of ultrasonically activated scalpel in open thyroid surgery with minimal incision
CHU Bing-feng,ZHANG Sheng-lai,LIU Ying-bin,QUAN Zhi-wei,ZHANG Wen-jie.Clinical experience of ultrasonically activated scalpel in open thyroid surgery with minimal incision[J].New Chinese Medicine,2011,42(1):23-26.
Authors:CHU Bing-feng  ZHANG Sheng-lai  LIU Ying-bin  QUAN Zhi-wei  ZHANG Wen-jie
Institution:CHU Bing-feng1,ZHANG Sheng-lai2,LIU Ying-bin2,QUAN Zhi-wei2,ZHANG Wen-jie2.1 Wenzhou Medical College,Wenzhou 325035,China,2 Department of General Surgery,Xinhua Hospital Affiliated to Medical School of Shanghai Jiaotong University,Shanghai 200092
Abstract:Objective:To investigate the efficacy and use of skills of ultrasonically activated scalpel(UAS) in open thyroid surgery with minimal incision.Methods:Six hundred and twelve patients with thyroid Neoplasms received thyroidectomy,UAS was used in the operations with the curative effect analysed.Results:All the operations were smoothly and successfully performed.The mean incision length was 4 cm,ranging from 2 cm to 5 cm.The mean operation time was 40 min,ranging from 25 minutes to 90 minutes.The mean blood lo...
Keywords:Ultrasonically activated scalpel  Thyroid neoplasm  Thyroidectomy  
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