Application of ultrasonic activated shears in thyroid surgery：an analysis of 506 cases

doi:10.3877/cma.j.issn.1674-0793.2007.04.008

Abstract

Abstract:

Objective

To investigate the value and the operative skill of ultrasonic activated shears（UAS）in thyroid surgery.

Methods

The clinical datum of 953 patients receiving thyroidectomy in our department between June 1998 and June 2005 were into two groups，506 patients were used new method into UAS group，447 patients were used traditional method into traditional group.

Results

Mean operating time UAS group was 76（45～130）min，that in traditional group was 113（82～183）min.Mean quantity of operating bleeding in UAS group was 26（5～148）ml，that in traditional group was 64（31～700）ml.Mean time of postoperative hospitalization in UAS group was 4（2～6）days，that in traditional group was 4.5（3～6）days.

Conclusion

It is convenient to master UAS.Compared with convertional method，the method reduces operating time in thyroid surgery，length of incision and quantity of postoperative bleeding，but extended time of stay of the incicion drainpipe and cost little more hospitalization expense.The rate of complications is as same as convertional method.Therefore，it is safe and effective in thyroid surgery.

Key words: Ultrasonic activated shears, Thyroid, Operation

Zhi-ping TANG. Application of ultrasonic activated shears in thyroid surgery：an analysis of 506 cases[J]. Chinese Archives of General Surgery(Electronic Edition), 2007, 01(04): 215-217.

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References 8

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组别	性别（男/女）	年龄（岁）	病种（例）				术式（例）
组别	性别（男/女）	年龄（岁）	甲亢	腺瘤	结节性甲肿	甲状腺癌	次全切除	腺叶切除	根治切除
超声刀组（506例）	230/276	41±27	137	169	171	29	310	167	29
传统组（447例）	199/248	40±28	124	158	144	21	269	157	21
t值		-0.826	0.748	0.937	1.052	0.963	1.183	0.671	0.746
P值	0.924	0.672	0.815	0.913	0.961	0.728	1.000	0.687	0.816

组别	性别（男/女）	年龄（岁）	病种（例）				术式（例）
组别	性别（男/女）	年龄（岁）	甲亢	腺瘤	结节性甲肿	甲状腺癌	次全切除	腺叶切除	根治切除
超声刀组（506例）	230/276	41±27	137	169	171	29	310	167	29
传统组（447例）	199/248	40±28	124	158	144	21	269	157	21
t值		-0.826	0.748	0.937	1.052	0.963	1.183	0.671	0.746
P值	0.924	0.672	0.815	0.913	0.961	0.728	1.000	0.687	0.816

组别	手术时间（min）	术中平均出血量（ml）	术后引流时间（h）	术后第一天晨平均血清Ca为术前（%）	喉上、喉返神经麻痹症状（例）	住院天数（d）	医疗费用（千元）	甲状腺功能减退（例）	甲状腺功能亢进复发（例）
超声刀组（506例）	76（45～130）	26（5～148）	32（28～46）	92（68～100）	5	4（2～6）	4.8（3.6～6）	0	2
传统组（447例）	113（82～183）	64（31～700）	24（22～28）	91（65～100）	7	4.5（3～6）	3.9（3～5）	1	4
t值	3.425	4.618	1.927	0.642	0.483	0.736	1.259	1.381	0.764
P值	0.003	0.001	0.052	0.968	0.325	0.518	0.064	1.000	0.892

组别	手术时间（min）	术中平均出血量（ml）	术后引流时间（h）	术后第一天晨平均血清Ca为术前（%）	喉上、喉返神经麻痹症状（例）	住院天数（d）	医疗费用（千元）	甲状腺功能减退（例）	甲状腺功能亢进复发（例）
超声刀组（506例）	76（45～130）	26（5～148）	32（28～46）	92（68～100）	5	4（2～6）	4.8（3.6～6）	0	2
传统组（447例）	113（82～183）	64（31～700）	24（22～28）	91（65～100）	7	4.5（3～6）	3.9（3～5）	1	4
t值	3.425	4.618	1.927	0.642	0.483	0.736	1.259	1.381	0.764
P值	0.003	0.001	0.052	0.968	0.325	0.518	0.064	1.000	0.892

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