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目的观察超声刀在甲状腺癌清扫术中的临床应用价值。方法选取医院甲状腺乳腺外科收治的甲状腺癌患者75例,随机分为超声刀组(38例)和传统组(37例)。传统组采用传统甲状腺癌清扫治疗;超声刀组采用超声刀进行甲状腺癌清扫。对2组患者手术时间、甲状腺切除时间、引流量、住院时间和喉返神经麻痹等并发症发生率进行比较。结果超声刀组患者手术时间、甲状腺切除时间、引流量、住院时间均显著优于传统组,差异有统计学意义(P<0.01)。超声刀组暂时性喉返神经麻痹等并发症发生率与传统组比较,差异无统计学意义(P>0.05)。结论超声刀在甲状腺癌清扫术中的临床应用价值高,可有效减少手术创伤,缩短手术时间,减少引流量,并发症少,安全性高,值得推广应用。
Objective To observe the clinical value of ultrasonic knife in thyroidectomy. Methods Seventy-five patients with thyroid cancer admitted to the hospital for thyroid gland surgery were randomly divided into two groups: the ultrasound group (38 cases) and the traditional group (37 cases). The traditional group was treated by traditional thyroid carcinoma; the ultrasonic knife was used for thyroid cancer dissection. The incidences of complications such as operative time, thyroidectomy time, drainage volume, length of stay, and recurrent laryngeal nerve paralysis were compared between the two groups. Results The operation time, thyroidectomy time, drainage and length of hospital stay in the ultrasonic knife group were significantly better than those in the traditional group (P <0.01). The incidence of complications such as temporary laryngeal nerve paralysis in ultrasonic knife group was not significantly different from the traditional group (P> 0.05). Conclusion Ultrasound knife in thyroid cancer dissection in the clinical application of high value, which can effectively reduce the surgical trauma, shorten the operation time and reduce the amount of drainage, fewer complications, high safety, it is worth promoting the application.