甲状腺癌实施甲状腺全切术采用显微镜下双极电凝镊的辅助效果分析
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摘要
目的:探讨甲状腺癌实施甲状腺全切术采用显微镜下双极电凝镊的辅助效果。方法:收治甲状腺癌患者180例,随机分为两组。对照组给予常规甲状腺全切术治疗。观察组给予甲状腺全切术及显微镜下辅助使用双极电凝镊治疗,比较两组术前、术后1 d、术后3个月血清钙、PTH水平及低血钙、低PTH、甲状旁腺功能减退发生情况。结果:两组术后1 d血清钙和PTH显著低于术前,差异有统计学意义(P<0.05)。观察组低血钙、低PTH、甲状旁腺功能减退发生率显著低于对照组,差异有统计学意义(P<0.05)。结论:甲状腺癌实施甲状腺全切术采用显微镜下双极电凝镊辅助可有效保护甲状旁腺,减少术后并发症。
Objective:To investigate the auxiliary effect of bipolar coagulation forceps under microscope in total thyroidectomy for thyroid carcinoma.Methods:180 cases of patients with thyroid carcinoma were divided into two groups randomly.The control group was treated with total thyroidectomy,the observation group was treated with total thyroidectomy and assisted with bipolar coagulation forceps under microscope,the serum calcium and PTH levels and hypocalcemia,low PTH and parathyroid gland dysfunction before operation,one day after operation and three months after operation were compared between the two groups.Results:The serum calcium and PTH of the two groups were significantly lower than one day after operation,and the difference was statistically significant(P<0.05).The incidence of hypocalcemia,low PTH and parathyroid gland dysfunction in the observation group was significantly lower than that in the control group,and difference was statistically significant(P<0.05).Conclusion:Bipolar coagulation forceps under microscope in total thyroidectomy for thyroid carcinoma could protect parathyroid gland and reduce postoperative complications effectively.
Objective:To investigate the auxiliary effect of bipolar coagulation forceps under microscope in total thyroidectomy for thyroid carcinoma.Methods:180 cases of patients with thyroid carcinoma were divided into two groups randomly.The control group was treated with total thyroidectomy,the observation group was treated with total thyroidectomy and assisted with bipolar coagulation forceps under microscope,the serum calcium and PTH levels and hypocalcemia,low PTH and parathyroid gland dysfunction before operation,one day after operation and three months after operation were compared between the two groups.Results:The serum calcium and PTH of the two groups were significantly lower than one day after operation,and the difference was statistically significant(P<0.05).The incidence of hypocalcemia,low PTH and parathyroid gland dysfunction in the observation group was significantly lower than that in the control group,and difference was statistically significant(P<0.05).Conclusion:Bipolar coagulation forceps under microscope in total thyroidectomy for thyroid carcinoma could protect parathyroid gland and reduce postoperative complications effectively.
引文
[1]郭博.超声刀联合高频双极电凝手术治疗对甲状腺癌患者喉返神经及甲状旁腺的影响[J].临床医学,2017,37(4):81-82.
[2]张浏阳,李波,柴吉鑫,等.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]邓伟光,郭晓兰,杜红.超声刀联合高频双极电凝对甲状腺癌患者喉返神经及甲状旁腺的影响[J].蚌埠医学院学报,2016,41(7):917-919.
[4]米林,哈那提,邢超.使用双极电凝及喉返神经显露在甲状腺全切除术中的应用[J].转化医学电子杂志,2015,2(11):89-90.
[5]李文秀,金晓杰,李吉平,等.甲状腺切除术中双极电凝与钳扎止血的应用比较[J].中国耳鼻咽喉头颈外科,2009,16(6):309-310.
[6]孙春雷,陈平康,史峻峰.颈腔镜双极电凝法甲状腺切除术[J].中国微创外科杂志,2005,5(1):40-41.
[2]张浏阳,李波,柴吉鑫,等.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]邓伟光,郭晓兰,杜红.超声刀联合高频双极电凝对甲状腺癌患者喉返神经及甲状旁腺的影响[J].蚌埠医学院学报,2016,41(7):917-919.
[4]米林,哈那提,邢超.使用双极电凝及喉返神经显露在甲状腺全切除术中的应用[J].转化医学电子杂志,2015,2(11):89-90.
[5]李文秀,金晓杰,李吉平,等.甲状腺切除术中双极电凝与钳扎止血的应用比较[J].中国耳鼻咽喉头颈外科,2009,16(6):309-310.
[6]孙春雷,陈平康,史峻峰.颈腔镜双极电凝法甲状腺切除术[J].中国微创外科杂志,2005,5(1):40-41.