岭南现代临床外科2024，Vol.24Issue(3)：183-186,4.DOI:10.3969/j.issn.1009-976X.2024.03.006
分化型甲状腺癌手术中应用纳米碳混悬注射液的效果分析
Exploration of the effect of applying nanocarbon suspension injection in thyroid cancer surgery
张杨毅 1丁珞洲 1雒虹郦 1刘策 1任佳 2马胜辉2
作者信息
- 1. 承德医学院,河北承德 067000
- 2. 承德市中心医院甲乳直肠外科,河北承德 067000
- 折叠
摘要
Abstract
Objective To analyze Analysis of the effect of intraoperative application of nanocarbon-mixed injection in patients with differentiated thyroid cancer.Methods The clinical data of 92 cases of patients with total thyroidectomy+unilateral central zone lymphatic dissection admitted to Chengde City Central Hospital in Hebei Province from January 2021 to December 2023 were retrospectively collected and divided into the nanocarbon group(nanocarbon suspension injection treatment,n=46)and the control group(conventional surgical treatment,n=46)according to the different treatment methods.The treatment effects of the two groups were compared.Results The number of cervical lymph nodes cleared in the nanocarbon group(6.37±4.44)was more than that in the control group(t=3.919,P<0.001).The rate of cervical lymph node metastasis(56.5%)was higher than that of the control group(χ2=10.172,P=0.001),and the misdissection of parathyroid gland rate(6.5%)was lower than that of the control group(χ2=4.389,P=0.036).The incidence of hypocalcemic symptoms in the nanocarbon group within 7 d postoperatively(8.7%)was lower than that in the control group(χ2=4.842,P=0.028),and the incidence of total associ-atedcomplications in the postoperative period within 7 d(13.0%)was lower than that in the control group(χ2=5.974,P=0.015).Conclusion The intraoperative application of nanocarbon-mixed injection in patients with differentiated thyroid cancer was able to improve the detection rate of cervical lymph node metastasis,increase the number of cervical lymph nodes cleared as well as reduce the rate of misdissec-tion of the parathyroid glands,and also reduce the incidence of complications related to the patients in the postoperative period of 7 d.It also had a significant impact on the reduction of the incidence of hypo-calcemic symptoms in the patients within seven days after surgery.关键词
分化型甲状腺癌/纳米碳混悬注射液/淋巴结清扫个数/甲状旁腺/并发症Key words
differentiated thyroid cancer/nanocarbon suspension injection/number of lymph node dissection/parathyroid glands/complications分类
医药卫生引用本文复制引用
张杨毅,丁珞洲,雒虹郦,刘策,任佳,马胜辉..分化型甲状腺癌手术中应用纳米碳混悬注射液的效果分析[J].岭南现代临床外科,2024,24(3):183-186,4.
