超声刀与传统电刀对甲状腺手术术后切口炎性反应的临床研究

发布时间：2018-12-11 20:40

【摘要】：目的探讨超声刀与传统电刀对开放甲状腺手术术后切口炎性反应的影响。方法选取2014年12月-2016年6月370例开放甲状腺手术患者,随机分为观察组(超声刀组)190例,对照组(电刀组)180例;比较两组患者手术切口炎性反应及肿胀程度、术后切口渗出量、切口疼痛评分、愈合时间、长度、愈合等级、手术时间、术中出血量、住院时间及患者满意度。结果观察组在手术切口炎性反应及肿胀程度、切口渗出量、切口疼痛评分方面均优于对照组,两组比较差异有统计学意义(P0.05);观察组切口愈合时间(4.53±0.94)d、切口长度(4.31±0.90)cm、切口愈合等级方面均优于对照组;观察组手术时间(38.54±4.76)min、住院时间(3.61±0.79)d均短于对照组,两组比较差异有统计学意义(P0.05);术中出血量观察组(17.35±3.52)ml少于对照组(26.28±3.31)ml,两组比较差异有统计学意义(t=25.10,P0.05);观察组患者满意度评分为(99.84±0.46)亦高于对照组(93.50±6.87),两组比较差异有统计学意义(t=12.36,P0.05)。结论超声刀在开放甲状腺手术中能够明显减轻手术后切口炎性反应及肿胀程度,减少术中出血量及术后切口渗出量,减低切口疼痛程度,降低切口感染率,缩短患者手术时间、切口愈合时间及住院时间,减轻患者痛苦,提高患者满意度;使用超声刀在开放甲状腺手术中优于传统组使用电刀对术后切口愈合的影响,具有较好的临床应用价值。
[Abstract]:Objective to investigate the effect of ultrasonic knife and traditional electric knife on the inflammatory response of incision after open thyroid surgery. Methods 370 patients undergoing open thyroid surgery from December 2014 to June 2016 were randomly divided into observation group (ultrasonic knife group) (190 cases) and control group (electric knife group) (180 cases). The degree of inflammatory reaction and swelling, incision exudation, wound pain score, healing time, length, healing grade, operative time, intraoperative bleeding volume, hospitalization time and patient satisfaction were compared between the two groups. Results the observation group was superior to the control group in terms of inflammatory reaction and swelling degree, incision exudation volume, incision pain score, and the difference between the two groups was statistically significant (P0.05). The healing time and length of incision in the observation group were (4.53 卤0.94) days and (4.31 卤0.90) cm, respectively. The operation time of the observation group (38.54 卤4.76) min, was (3.61 卤0.79) days shorter than that of the control group, and the difference between the two groups was statistically significant (P0.05). The amount of intraoperative bleeding in the observation group (17.35 卤3.52) ml was significantly lower than that in the control group (26.28 卤3.31) ml, (P 0.05). The satisfaction score of patients in the observation group (99.84 卤0.46) was also higher than that in the control group (93.50 卤6.87), and the difference between the two groups was statistically significant (P 0.05). Conclusion Ultrasonic scalpel can obviously reduce the inflammatory reaction and swelling of incision after operation, decrease the amount of bleeding and exudation, reduce the degree of incision pain, reduce the infection rate of incision, and shorten the operation time. The wound healing time and hospitalization time can alleviate the pain of the patients and improve the patients' satisfaction. Ultrasonic scalpel is superior to the traditional group in the effect of electric knife on wound healing, and it has good clinical application value.
【作者单位】：杭州市第一人民医院(南京医科大学附属杭州医院)手术室;浙江省立同德医院妇产科;杭州市第一人民医院(南京医科大学附属杭州医院)肿瘤外科;
【基金】：浙江省公益技术应用基金资助项目(2017C33180) 杭州市重大科技创新基金专项资助项目(20131813A08)
【分类号】：R653

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