【摘要】 目的探讨超声刀在低位小切口甲状腺手术中的应用价值。方法 2008年1月~12月对75例甲状腺良性疾病行开放性小切口(2~3 cm)甲状腺切除术,术中利用冷光源拉钩作为光源兼拉钩,超声刀处理甲状腺血管和腺体。结果平均手术时间70 min(40~135 min),术中平均出血量15 ml(5~20 ml)。术后24 h平均切口引流量25 ml(10~50ml)。无出血、神经、甲状旁腺损伤及其他并发症。75例术后平均随访16个月(14~18个月),未见病变复发、甲状腺功能减低。结论冷光源拉钩辅助下超声刀应用于开放性小切口甲状腺切除,可以方便手术操作,止血效果可靠。更多还原

【Abstract】 Objective To explore the value of harmonic scalpel(HS) in low mini-incision thyroid surgery.Methods From January 2008 to December 2008,75 cases of thyroid diseases underwent open mini-incision(2-3 cm) thyroid surgery by using cold-light-source retractor.We used HS to deal with the blood vessels and thyroid gland.Results The mean operation time was 70 min(40-135 min),and mean intraoperative blood loss was 15 ml(5-20 ml).In 24 hours postoperation,the mean incisional drainage ranged from 10 to 50 ml(mean,25 ml).No patients had hemorrhage,neural injury or injury to the parathyroid.75 patients were followed up for 16 months(14-18 months),during which no recurrence or hypothyroidism occurred.Conclusion With cold-light-source retractor,HS can facilitate mini-incision thyroid surgery,and is reliable in hemostasis.更多还原