The Value And Skills Of Ultrasonically Activated Scalpe In Open Thyroid Surgery

Objective:To investigate the value and use of skills of ultrasonic scalpel in open thyroid surgery.Methods:1.Research:Collected in March 2010 to start a new thyroid patients admitted to hospital, record the total operation time of surgery, blood loss, number of line end, postoperative drainage, complications and hospitalization time, and compared with traditional surgery.2. Experimental program:Taken in March 2010 to start a new thyroid patients admitted to hospital(Does not include combined with other diseases such as hypertension, diabetes, hypersplenism and coagulation disorders, blood diseases, a class of abnormal), After complete preoperative, Scheduled for resection of thyroid and thyroid gland unilateral lobectomy, subtotal or total thyroid surgery. Randomly divided into groups and electric scalpel blade and ultrasonic scalpel blade. Its two groups of surgery were recorded the total operation time, blood loss, number of line end, postoperative drainage, surgical complications and hospital stay. The data into the design of the form. Summarized separately, Measurement data with normal distribution, so the line t test, x2 test with count data, All data were analyzed by statistical software SPSS1010, Significance level a= 0.05, P<0.05 indicated significant difference.Results:1. The total operation time:ultrasonic scalpel blade 48.75±15.55min; electric scalpel blade 59.05±15.31min, Significant difference(P<0.05) 2. Blood loss in operation:ultrasonic scalpel blad 19.80±14.10ml; electric scalpel blade 31.89±19.5ml, Significant difference(P<0.05) 3. Line Number Results:ultrasonic scalpel blad 2.18±1.98; electric scalpel blade 7.50±2.21, Significant difference(P<0.05).4. Blood loss after operation in 24h: ultrasonic scalpel blad 29.80±19.61ml; electric scalpel blade 53.95±34.35ml, Significant difference(P<0.05).5. Postoperative hospital stay:ultrasonic scalpel blad 4.70±1.42 d; electric scalpel blade 5.76±2.Old, Significant difference(P<0.05).6. Postoperative complications compared the two groups no significant difference (P>0.05).Conclusion:1 The 5mm below the ultrasonic scalpel for vascular clamp, ultrasonic scalpel can cut and ligated at once, Operation not only saves time, reduces the number of thread in the cavity created, but also reduce bleeding, to ensure the clarity of the surgical field.2 Operation not only saves time, reduces the number of thread in the cavity created, but also reduce bleeding, to ensure the clarity of the surgical field; And the head of the temperature below 80 degrees Celsius, causing thermal damage to the scope of the organization is smaller, on the trachea, nerves, blood vessels played a protective role; Besides simple harmonic scalpel, cut off the organization also occluded the blood vessels, so the operation does not require too much space, thus reducing unnecessary operations and trauma exposure.3 Ultrasonic scalpel in the total operation time, intraoperative and postoperative bleeding, line knot the number of surgical complications, postoperative hospital stay than traditional surgery have some change and should be introduced.4 At the same time through the ultrasonic scalpel in open thyroid surgery in the accumulation of a certain use explore the use of skills, application of ultrasound for clinicians to provide a reliable theoretical basis for the knife.