Abstract: 【Abstract】〓Objective〓To investigate the clinical value of applying ultrasonic scalpel in the open thyroid surgery. Methods〓Based on the data collection of 120 cases of patients,we designed for use of ultrasonic scalpel in thyroid surgery 68 cases into the treatment group,and conventional thyroidectomy 52 cases as control group, both groups were performed by the same group surgeons. The factors of age, gender, disease constitution, resection specimen size, the length of incision, operative time,bleeding volume,postoperative drainage,surgical complications,postoperative pain, hospitalization time and cost were compared between the two groups,afterwards,it is evaluated the clinical application value of ultrasonic scalpel in the open thyroidectomy. Results〓All the procedures were completed successfully. In treatment group, the average length of incision was 4.54±1.61 cm, mean operation time was 61.27±10.44 min, average blood loss was 20.22±5.79 ml, the mean postoperative drainage was 39.26±11.00 ml, respectively, which had a statistical significance difference compared to the control group. Conclusion〓Use of ultrasonic scalpel in the open thyroid surgery can shorten the incision, decrease the operation time, bleeding and postoperative lead flux, which have a higher clinical application value.

Key words: Ultrasonic scalpel, Small incision, Thyroid surgery

摘要： 【摘要】 目的 探讨在开放甲状腺手术中应用超声刀的临床价值。方法〓本文通过对120例患者的资料收集,设用超声刀行甲状腺手术68例为治疗组,传统甲状腺手术52例为对照组,两组均由同一组手术医生施行,比较两组之间的年龄、性别、疾病构成、切除标本大小、切口长度、手术时间、术中出血量、术后引流量、手术并发症、术后疼痛、住院时间及费用等因素,分析在开放甲状腺手术中应用超声刀的临床价值。结果〓所有手术均顺利完成。治疗组的平均手术切口长度为4.54±1.61 cm,平均手术时间为61.27±10.44 min,平均术中出血量为20.22±5.79 mL,平均术后引流量为39.26±11.00 mL,均与对照组有显著性差异,具有统计学意义。结论〓在开放甲状腺手术中应用超声刀可使手术切口缩短,使手术时间、手术出血、术后引流量减少,具有较高的临床应用价值。

关键词: 超声刀, 小切口, 甲状腺手术