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时间:2020-05-09
《持续负压吸引排气法在经胸途径腔镜甲状腺手术的应用研究.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、中华普外科手术学杂志(电子版)2015年6月第9卷第3期ChinJOperProeGenSurg(Elec叻rcFAifion),June2015,Vo1.9,No.3·53·.论著.持续负压吸引排气法在经胸途径腔镜甲状腺手术的应用研究黄进团黄荣辉曾玉友【摘要】目的探讨持续负压吸引排气法在经胸途径腔镜甲状腺手术的应用价值。方法将62例患者随机分为两组,每组31例,常规组术中以常规法排除烟雾干扰;排气法组使用自制改良设备进行腔镜手术,全程持续负压吸引排气,记录术中自切皮始至制造操作空间止所用时间,操作空间制作结束到甲状腺肿块完全
2、切除所用时间,采用SPSS19.0统计软件分析,两个手术阶段耗时及术中镜头清洗次数、术中出血量比较采用(孟±s)表示,t检验;两组术后并发症比较采用检验。P<0.05差异有统计学意义。结果排气法组在制造操作空间方面耗时明显短于常规组,而镜头清洗次数也较少,差异有统计学意义(t=4.30、5.56,P<0.05);在切除甲状腺的耗时及术中出血量方面,两者差异无统计学意义(P>0.05);术后常规组13例(41.9%)出现并发症,排气法组有1例(3.2%)因喉返神经损伤所致术后声嘶患者,两组并发症发生率差异有统计学意义(X=13.
3、29,P<0.05)。结论自制改良器械在经胸途径腔镜甲状腺手术中持续负压吸引排气,能够有效消除烟雾,对手术产生积极影响,值得推广。【关键词】甲状腺疾病;持续负压吸引;胸腔镜检查;甲状腺切除术;烟雾吸入损伤ClinicalapplicationofcontinuousvacuumevacuationinendoscopicthyroidectomybytransthoracicapproachHuangJintuan,HuangRonghui,ZengYuyou.Departmentofgeneralsurgery,Thethi
4、rdpeople’sHospitalofHuizhoucity,Guangdong516002,ChinaFunding:ScienceandtechnologyprojectofHuiazhoucity(No.20140802)Correspondingauthor:HuangJintuan,Email:huangfintuan1980@163.corn【Abstract】ObjectiveToinvestigatetheclinicaloutcomeofcontinuousvacuumevacuationinendosco
5、picthyroidectomy(ET)bythetransthoracicapproach.Methods62patientswithETindicationswereselectedandrandomlydividedintotwogroups,eachgroupof31cases.conventiongroup(CG)evacuatingsmogbyconventionalmethodandexitgasgroup(EGG)usedamodifiedoperativeinstrumentforcontinuouslyev
6、acuatingsmog.Theresultswerecomparedontheconsumingtimeinestablishingtheoperationspaceandthyroidablation,thefrequencyofLenscleaning,intraoperativebloodlossandcomplications;StatisticalanalysiswereperformedbyusingSPSS19.0software,andtheconsumingtime,thyroidablation,freq
7、uencyofLenscleaning,amountofbleedingwereexpressedas@±S)andwerecomparedbyttest,whilecomparisonofcomplicationsbyXztest.Pvalue<0.05wasconsideredassignificantdiference.ResultsComparedwithconventiongroup,theconsumingtimeofestablishingtheoperationspace,thefrequencyofLensc
8、leaningwerelessinEGG(t=4.30,5.56respectively,P<0.05).Therewasnosignificantdifferencebetween2groupsinconsumingtimeinthyroidablationandamoun
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