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目的探讨超声刀联合高频双极电凝手术治疗对甲状腺癌患者喉返神经及甲状旁腺的影响。方法选择2014年1月至2016年2月甲状腺癌患者98例,随机分为两组,每组49例。对照组患者实施常规甲状腺切除术治疗,观察组实施超声刀联合高频双极电凝手术治疗。比较两组患者手术指标、甲状旁腺和喉返神经损伤情况。结果观察组手术时间、术中出血量、术后引流量、切口大小、住院时间与对照组相比均有明显降低,差异有统计学意义(P<0.05);观察组患者发生甲状腺功能低下与损伤喉返神经的比例均明显低于对照组,差异有统计学意义(P<0.05)。结论对甲状腺癌患者实施超声刀联合高频双极电凝手术治疗效果显著,能有效改善手术各项指标,降低损伤甲状旁腺和喉返神经的比例,安全性较高,值得临床推广。
Objective To investigate the effect of ultrasonic knife combined with high frequency bipolar coagulation on the recurrent laryngeal nerve and parathyroid in thyroid cancer patients. Methods From January 2014 to February 2016, 98 patients with thyroid cancer were randomly divided into two groups, 49 cases in each group. Patients in the control group underwent conventional thyroidectomy, while those in the observation group underwent ultrasound knife combined with high-frequency bipolar coagulation. Surgical indexes, parathyroid and recurrent laryngeal nerve injury were compared between the two groups. Results The operation time, intraoperative blood loss, postoperative drainage volume, incision size and length of stay in the observation group were significantly lower than those in the control group (P <0.05). The incidence of hypothyroidism Injury of recurrent laryngeal nerve were significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusion The implementation of ultrasonic scalpel combined with high frequency bipolar coagulation in patients with thyroid cancer has significant effect, which can effectively improve the indexes of operation and reduce the ratio of parathyroid and recurrent laryngeal nerve. It is worth to be clinically promoted.