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目的:探讨超声刀行“中间入路”甲状腺手术对于甲状腺癌再次手术的效果。方法:收集使用超声刀行甲状腺癌再次手术45例,与同期传统甲状腺癌再次手术45例进行比较。结果:两组间年龄、体重、肿瘤的特征均无统计学差异(P>0.05),超声刀甲状腺癌再次手术组手术时间及术中出血量较传统手术组减少(P<0.01),提高了手术效率;超声刀甲状腺癌再次手术组所需手术切口长度较传统手术组缩短(P<0.01),超声刀甲状腺癌再次手术组术后引流量及住院天数较传统手术组减少(P<0.01),且减轻了患者的疼痛,促进了患者的恢复。结论:超声刀甲状腺手术可有效解除甲状腺固定,提高手术效率,是一种安全可行、创伤较小、疼痛较轻、美容效果较好的手术方式。适宜于甲状腺癌再次手术中运用。
Objective: To investigate the effect of ultrasonic knife re-entry “thyroid surgery” on thyroid cancer reoperation. Methods: 45 cases of thyroid cancer underwent reoperation with ultrasonic knife and 45 cases of reoperation with conventional thyroid cancer. Results: There was no significant difference in age, body weight and tumor characteristics between the two groups (P> 0.05). The operation time and intraoperative blood loss in reoperation with thyroidectomy for thyroid cancer were significantly lower than those in the conventional operation group (P <0.01) The length of surgical incision required by re-operation group was shorter than that of traditional operation group (P <0.01), and the amount of drainage and length of hospital stay in re-operation group was lower than that of traditional operation group (P <0.01) , And reduce the patient’s pain, promote the recovery of patients. Conclusions: Ultrasound knife thyroidectomy can effectively relieve the thyroid gland fixation and improve the operative efficiency. It is a safe and feasible surgical method with less trauma, less pain and better cosmetic results. Suitable for thyroid cancer operation again.