山东大学耳鼻喉眼学报 ›› 2013, Vol. 27 ›› Issue (2): 56-59.doi: 10.6040/j.issn.1673-3770.0.2013.054

• 论著 • 上一篇    下一篇

选择低位小切口行甲状腺癌选择性淋巴结清扫

曹磊,贺青卿,庄大勇,郑鲁明,范子义,周鹏,朱见   

  1. 济南军区总医院甲状腺乳腺外科, 济南 250031
  • 收稿日期:2013-03-01 发布日期:2013-04-16
  • 通讯作者: 贺青卿,主任医师,硕士生导师。 Email:heqingqing@yeah.net
  • 作者简介:曹磊,硕士研究生。 Email:caolei0841020027@163.com
  • 基金资助:

    中国博士后科学基金第三批特别资助项目(201003759);济南军区总医院院长基金资助(2011M03)

Low small incision in  total thyroidectomy and selective neck lymphnode dissection

CAO Lei, HE Qing-qing, ZHUANG Da-yong, ZHENG Lu-ming, FAN Zi-yi, ZHOU Peng, ZHU Jian   

  1.  Department of Thyroid and Breast Surgery, Jinan Military General Hospital, Jinan 250031, China
  • Received:2013-03-01 Published:2013-04-16

摘要:

目的   探讨超声刀联合自动拉钩辅助低位领式小切口行甲状腺全切除+选择性淋巴结清扫术的可行性。方法   选择甲状腺癌患者124例,随机分为实验组62例和对照组62例,实验组采用超声刀联合自动拉钩辅助低位领式小切口行甲状腺全切除+选择性淋巴结清扫术;对照组采用低位领式切口行甲状腺全切除+选择性淋巴结清扫术。对两组手术住院时间、肿瘤大小、切口长度、手术时间、术中出血量、手术操作者人数、术后引流量、术后引流时间,以及术前、术后甲状旁腺素、血清钙、血清磷、切除淋巴结数量及术后并发症进行比较。结果   实验组手术时间、手术操作者人数、切口长度、术中出血量均少于对照组(P<0.05);其余指标差异无统计学意义(P>0.05)。结论   超声刀联合自动拉钩辅助低位领式小切口行甲状腺全切除+选择性淋巴结清扫术治疗方法可行,具有术时短、手术操作者人数少、术中出血量少、切口小的优势。

关键词: Frankfurt自动拉钩, 淋巴结清扫术, 甲状腺癌, Harmonic Focus超声刀, 低位小切口

Abstract:

Objective   To explore the feasibility of harmonic focus scalpel combined with Frankfurt automatic retractor auxiliary low collar small incision in total thyroidectomy and selective neck lymphnode dissection. Methods   124 patients with thyroid cancer were randomly divided into two groups: the experimental group of 62 patients with harmonic focus scalpel combined with a low collar small incision assisted with a Frankfurt automatic retractor, and the control group of 62 patients with a low collar incision. Two groups were compared by hospitalization time, tumor size, incision length, operative time, blood loss, number of operators, post-operative drainage, post-operative drainage time, pre-operative and post-operative parathyroid hormone, serum calcium, serum phosphorusvalue, the number of resected lymph nodes and post-operative complications. Results   Compared to the control group, it was statistically decreased in operative time, number of operators, incision length and blood loss in the operation in the experimental group (P<0.05). However, other clinical indicators were not significantly different between the two groups(P>0.05). Conclusion   Utility of Harmonic focus scalpel combined with Frankfurt automatic retractor auxiliary low collar small incision underwent total thyroidectomy and selective neck lymph node dissection is feasible, and it has the advantages of shorter operative time, smaller number of operators, less blood loss  and smaller incision.

Key words: Thyroid cancer, Frankfurt automatic retractor, Low small incision, Neck lymphnode dissection, Harmonic Focus scalpel

中图分类号: 

  • R736.1
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