摘要
Abstract
Objective:To compare the clinical application effects of carbon nano-particle combined with bipolar electrocoagulation forceps or harmonic scalpel in the surgery of papillary thyroid carcinoma(PTC).
Methods:A retrospective analysis was conducted on 492 patients who underwent open surgery for PTC surgery at Affiliated Hospital of Jiangsu University from January 2019 to November 2022.All patients were treated with nanocarbon tracers and divided into a bipolar electrocoagulation forceps group(n=301)and a harmonic scalpel group(n=191)based on the instruments used during surgery.The surgical time,intraoperative bleeding volume,drainage volume on the first and second day after surgery,incidence of postoperative complications(recurrent laryngeal nerve injury,parathyroid function injury),length of hospital stay,and hospitalization costs were compared between the 2 groups.
Results:Compared with the ultrasound knife group,the surgical time,intraoperative bleeding volume,incidence of postoperative complications,drainage volume on the second day,length of hospital stay,and hospitalization costs in the bipolar electrocoagulation group were significantly lower(all P<0.05).There was no significant difference in drainage volume on the first day after surgery between the 2 groups(P>0.05).
Conclusion:The combined use of carbon nano-particle and bipolar electrocoagulation forceps in clinical practice can reduce surgical time and intraoperative bleeding,decrease the incidence of postoperative complications,shorten hospital stay,and reduce hospitalization costs.关键词
甲状腺乳头状癌/双极电凝镊/超声刀/纳米炭示踪剂/术后并发症Key words
papillary thyroid carcinoma/bipolar coagulation forceps/ultrasonic knife/carbon nano-particle/postoperative complications
