河北医学2017，Vol.23Issue(1)：103-105,3.DOI:10.3969/j.issn.1006-6233.2017.01.034
滴水双极电凝镊在甲状腺全切术中的临床应用
Clinical Application of Drip Bipolar Coagulation in Thyroidectomy
摘要
Abstract
Objective:To explore the effect of drip bipolar coagulation on parathyroid glands and recur-rent laryngeal nerve protection in thyroidectomy.Method:70 patients underwenttotalthyroidectomy were divid-ed into research group and control group. Patients in the research group were treated by harmonic scalpel and drip bipolar coagulation operation thyroidectomy, and patients in the control group were treated by harmonic scalpel operation thyroidectomy. The operative time, bleeding, palsy of recurrent laryngeal nerve, the blood calcium and postoperative PTH were compared between the two groups. Result:There was no difference of the operative time and bleeding in the two groups( P >0.05) . The complications of transient function insufficiency of parathyroid and transient palsy of recurrent laryngeal nerve were more in the control group (14.3% and 17. 1%) than in the research group (2.8% and 5.7%) with statistical difference (P<0.05). There were no per-manent function insufficiency of parathyroid and permanent palsy of recurrent laryngeal nerve in the two groups. Conclusion:Drip bipolar coagulation for thyroidectomy can effectively reduce the surrounding temper-ature of the tissue, and can protect the parathyroid and recurrent laryngeal nerve.关键词
甲状腺手术/滴水双极电凝镊/甲状旁腺/喉返神经Key words
Thyroid operation/Drip bipolar coagulation/PTH/Recurrent laryngeal nerve引用本文复制引用
张浏阳,李波,柴吉鑫,薛筠兴,敖亚洲,陈泳..滴水双极电凝镊在甲状腺全切术中的临床应用[J].河北医学,2017,23(1):103-105,3.基金项目
河北省承德市科技局科技项目,(编号:201601A026) （编号:201601A026）
