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目的总结FOCUS超声刀在喉癌及颈淋巴结清扫术中的应用效果。方法喉癌患者32例分为两组:治疗组14例,采用FOCUS超声刀辅助行喉癌手术;对照组18例,采用传统方法行喉癌手术。比较两组切口长度、手术时间、术中出血量、术后引流量和喉部分切除术后患者能耐受全堵管时间。结果治疗组术中出血量为(63.57±35.65)ml,明显少于对照组的(159.44±112.59)ml(P<0.05)。治疗组手术时间为(206.43±35.70)min,明显短于对照组的(252.50±72.87)min(P<0.05)。治疗组术后伤口引流量稍微多于对照组[(71.82±75.05)ml vs. (37.61±29.37)ml](P>0.05)。治疗组手术切口长(10.50±4.27)cm,短于对照组的(15.83±8.18)cm(P<0.05)。两组行喉部分切除术者能耐受全堵管时间相仿[(12.55±1.81)d vs. (12.08±2.50)d](P>0.05)。结论与传统电刀辅助手术相比,应用FOCUS超声刀行喉癌及颈淋巴结清扫术切口小、手术出血量少、手术时间短、术后伤口反应轻。
Objective To summarize the application effect of FOCUS ultrasonic knife in laryngeal cancer and cervical lymph node dissection. Methods Twenty-two patients with laryngeal cancer were divided into two groups: the treatment group (14 cases) and the FOCUS ultrasonic knife assisted laryngeal cancer surgery (18 cases). The control group received laryngeal cancer surgery by traditional method. The length of incision, operation time, intraoperative blood loss, postoperative drainage volume and partial laryngectomy patients were able to tolerate the full blockage time. Results The blood loss in the treatment group was (63.57 ± 35.65) ml, which was significantly lower than that in the control group (159.44 ± 112.59) ml (P <0.05). The operation time of the treatment group was (206.43 ± 35.70) min, which was significantly shorter than that of the control group (252.50 ± 72.87) min (P <0.05). The wound drainage volume in the treatment group was slightly more than that in the control group [(71.82 ± 75.05) ml vs. (37.61 ± 29.37) ml] (P> 0.05). The length of incision in the treatment group was (10.50 ± 4.27) cm, shorter than that in the control group (15.83 ± 8.18 cm, P <0.05). The two groups of patients undergoing partial laryngectomy were able to tolerate full occlusion time similar [(12.55 ± 1.81) d vs. (12.08 ± 2.50) d] (P> 0.05). Conclusions Compared with the traditional electrosurgical assistant technique, the FOCUS ultrasonic knife has the advantages of small incision of laryngeal cancer and cervical lymph node dissection, less operative bleeding, shorter operation time and less postoperative wound response.