生命科学仪器2025，Vol.23Issue(4)：6-8,3.DOI:10.11967/2025230803
甲状腺乳头状癌中央区淋巴结清扫术中超声刀与电刀在减少喉返神经损伤中的应用探讨
Application of Ultrasonic Knife And Electric Knife in Reducing Recurrent Laryngeal Nerve Injury during Central Lymph Node Dissection for Papillary Thyroid Carcinoma
马有伟 1于建平 1李正凯 1韩晓鹏1
作者信息
- 1. 甘肃省中心医院普外一科,甘肃 兰州 730070
- 折叠
摘要
Abstract
Objective:To compare the effects of ultrasonic scalpel and electrotome on reducing the injury of recurrent laryn-geal nerve during lymph node dissection in the central area of papillary thyroid carcinoma.Methods:From September 2021 to October 2024,85 patients with papillary thyroid cancer were retrospectively studied.All patients were treated by central lymph node dissection,and they were divided into ultrasonic scalpel group(42 cases)and electrotome group(43 cases)ac-cording to different instruments used during the operation.The operation time,intraoperative blood loss,identification of re-current laryngeal nerve,postoperative hospital stay and related complications were compared between the two groups.Re-sults:The operation time and blood loss in the ultrasonic scalpel group were less than those in the electrotome group,and the recognition rate of recurrent laryngeal nerve was higher than that in the electrotome group,P<0.05.Postoperative fol-low-up showed that the incidence of hoarseness,dysphagia and complications in the ultrasonic scalpel group was lower than that in the electrotome group,and the hospitalization time was shorter than that in the electrotome group,P<0.05.Conclusion:Ultrasonic scalpel is safer and more effective than electrotome in lymph node dissection of papillary thy-roid carcinoma,which can reduce complications such as recurrent laryngeal nerve injury and shorten postoperative recovery time.关键词
甲状腺乳头状癌/喉返神经损伤/中央区淋巴结清扫术/超声刀/电刀Key words
Papillary thyroid carcinoma/Injury of recurrent laryngeal nerve/Central lymph node dissection/Ultrasonic knife/Electrotome分类
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马有伟,于建平,李正凯,韩晓鹏..甲状腺乳头状癌中央区淋巴结清扫术中超声刀与电刀在减少喉返神经损伤中的应用探讨[J].生命科学仪器,2025,23(4):6-8,3.
