• 
    

    
    

      99热精品在线国产_美女午夜性视频免费_国产精品国产高清国产av_av欧美777_自拍偷自拍亚洲精品老妇_亚洲熟女精品中文字幕_www日本黄色视频网_国产精品野战在线观看 ?

      雙極電凝系統(tǒng)與超聲刀在精細(xì)被膜解剖下甲狀腺手術(shù)中的應(yīng)用效果

      2019-04-25 00:32:22周韜莊亞強(qiáng)曹一鳴
      中國現(xiàn)代醫(yī)生 2019年5期
      關(guān)鍵詞:甲狀腺手術(shù)應(yīng)用效果

      周韜 莊亞強(qiáng) 曹一鳴 等

      [摘要] 目的 探討雙極電凝系統(tǒng)與超聲刀在精細(xì)被膜解剖下甲狀腺手術(shù)中的應(yīng)用效果。 方法 將2015年1月~2016年12月在我院外科擬行甲狀腺手術(shù)的112例患者隨機(jī)平均分為觀察組和對(duì)照組兩組,觀察組為超聲刀與雙極電凝組,使用超聲刀與雙極電凝鑷進(jìn)行精細(xì)被膜解剖甲狀腺手術(shù),對(duì)照組為傳統(tǒng)手術(shù)組,即使用高頻電刀配合傳統(tǒng)絲線結(jié)扎行甲狀腺手術(shù),比較兩組患者的各項(xiàng)手術(shù)指標(biāo)、并發(fā)癥發(fā)生率、甲狀旁腺激素及血清鈣離子水平。 結(jié)果 觀察組切口長度、手術(shù)時(shí)間、住院時(shí)間、術(shù)中出血量、術(shù)后術(shù)區(qū)引流量均明顯少于對(duì)照組(P<0.05);觀察組術(shù)后皮瓣下積液、喉返神經(jīng)暫時(shí)性或永久性麻痹、暫時(shí)性或永久性甲狀旁腺功能低下等并發(fā)癥發(fā)生率明顯低于對(duì)照組(P<0.05);觀察組術(shù)后1 d、術(shù)后1周的甲狀旁腺激素水平明顯高于對(duì)照組,觀察組術(shù)后1 d的血清鈣離子水平明顯高于對(duì)照組(P<0.05),而兩組術(shù)后1周的血清鈣離子水平無明顯差異(P>0.05)。 結(jié)論 雙極電凝系統(tǒng)與超聲刀在精細(xì)被膜解剖下甲狀腺手術(shù)中的應(yīng)用效果顯著,提高甲狀腺手術(shù)的質(zhì)量和安全性,減少手術(shù)并發(fā)癥的發(fā)生,提高治愈率、減輕患者的痛苦。

      [關(guān)鍵詞] 甲狀腺手術(shù);雙極電凝系統(tǒng)與超聲刀;精細(xì)被膜解剖;應(yīng)用效果

      [中圖分類號(hào)] R653? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] B? ? ? ? ? [文章編號(hào)] 1673-9701(2019)05-0051-03

      [Abstract] Objective To investigate the application effect of bipolar electrocoagulation system and ultrasonic scalpel in thyroid surgery under fine capsule anatomy. Methods A total of 112 patients undergoing thyroid surgery in our hospital from January 2015 to December 2016 were randomly divided into group A and group B. Group A was ultrasonic scalpel and bipolar coagulation group, and was treated with ultrasonic scalpel and bipolar electrocoagulation tweezers for fine capsule anatomy in thyroid surgery. Group B was traditional operation group, and treated with high-frequency electrosurgical knives and traditional silk ligature for thyroid surgery. The surgical indexes, complication rate, parathyroid hormone and serum calcium level between the two groups were compared. Results The length of incision, operation time, hospitalization time, intraoperative blood loss, and postoperative drainage volume in group A were significantly less than those in group B(P<0.05). The incidence of complications such as postoperative subcutaneous effusion, temporary or permanent paralysis of recurrent laryngeal nerve, temporary or permanent hypoparathyroidism in group A was significantly lower than that of group B(P<0.05). The level of parathyroid hormone in group A at 1 day after surgery and 1 week after surgery was significantly higher than that in group B. The blood calcium level in group A was significantly higher than that in group B at 1 day after surgery(P<0.05). But there was no significant difference in blood calcium level between the two groups(P>0.05). Conclusion The application of bipolar electrocoagulation system and ultrasonic scalpel in thyroid surgery under fine capsule anatomy has significant effect, which can improve the quality and safety of thyroid surgery, reduce the occurrence of surgical complications, improve the cure rate and alleviate the suffering of patients.

      猜你喜歡
      甲狀腺手術(shù)應(yīng)用效果
      護(hù)理干預(yù)對(duì)腔鏡甲狀腺術(shù)后病人創(chuàng)傷和應(yīng)激影響的研究
      今日健康(2016年12期)2016-11-17 13:52:24
      體驗(yàn)式教學(xué)法在小學(xué)品德與生活教學(xué)中的應(yīng)用研究
      任務(wù)驅(qū)動(dòng)教學(xué)法在C 語言教學(xué)中的應(yīng)用研究
      手術(shù)中個(gè)性化心理護(hù)理在原發(fā)性青光眼患者中的應(yīng)用
      健脾扶正湯在晚期胃癌治療中的應(yīng)用
      化療聯(lián)合CIK細(xì)胞治療卵巢癌的臨床觀察
      負(fù)壓封閉引流技術(shù)治療四肢創(chuàng)傷復(fù)雜創(chuàng)面的臨床應(yīng)用分析
      腔鏡輔助甲狀腺手術(shù)與傳統(tǒng)開放性甲狀腺手術(shù)的對(duì)照研究
      術(shù)前系統(tǒng)護(hù)理干預(yù)對(duì)甲狀腺患者的作用評(píng)價(jià)
      甲狀腺手術(shù)頸叢神經(jīng)阻滯麻醉中不同輔助用藥的應(yīng)用效果觀察
      江油市| 岳普湖县| 炎陵县| 明光市| 巨鹿县| 义乌市| 南澳县| 浮山县| 萨迦县| 千阳县| 福州市| 潜江市| 砀山县| 慈利县| 遂川县| 乌兰浩特市| 满城县| 宣恩县| 惠水县| 综艺| 盐亭县| 达孜县| 兴文县| 五家渠市| 邓州市| 长沙市| 巫溪县| 潜江市| 巴南区| 南投县| 南靖县| 宣化县| 天峨县| 遂平县| 榆社县| 泰顺县| 武清区| 平昌县| 大洼县| 湖北省| 鄱阳县|