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山西省大同市第五人民医院普外科,山西 大同 037006
魏学黎,E-mail:w034205xl@163.com
纸质出版日期:2023-06-25,
收稿日期:2022-09-03,
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吴建军,张学森,韩雅婧等.放大镜下纳米炭甲状旁腺负显影技术在甲状腺切除术中的应用[J].局解手术学杂志,2023,32(06):503-505.
WU Jian-jun,ZHANG Xue-sen,HAN Ya-jing,et al.Application of nano-carbon parathyroid negative imaging technique under magnifying glass in thyroidectomy[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(06):503-505.
吴建军,张学森,韩雅婧等.放大镜下纳米炭甲状旁腺负显影技术在甲状腺切除术中的应用[J].局解手术学杂志,2023,32(06):503-505. DOI: 10.11659/jjssx.09E022015.
WU Jian-jun,ZHANG Xue-sen,HAN Ya-jing,et al.Application of nano-carbon parathyroid negative imaging technique under magnifying glass in thyroidectomy[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(06):503-505. DOI: 10.11659/jjssx.09E022015.
目的
2
探讨放大镜下纳米炭甲状旁腺负显影技术在甲状腺切除术中的应用效果。
方法
2
回顾性分析本院100例行甲状腺切除术患者的临床资料。根据术者是否配戴眼镜式放大镜将患者分为对照组(
n
=49)与观察组(
n
=51)。比较2组围术期指标,血清甲状旁腺素(PTH)、血钙水平,并发症及复发情况。
结果
2
观察组手术时间、术后住院时间短于对照组,术中出血量少于对照组,淋巴结清扫数多于对照组,差异均具有统计学意义(
P
<
0.05)。2组患者术后总引流量、引流时间比较差异无统计学意义(
P
>
0.05)。2组患者术后血清PTH、血钙水平均较术前降低(
P
<
0.05),但观察组血清PTH、血钙水平均显著高于对照组(
P
<
0.05)。观察组并发症总发生率低于对照组(
P
<
0.05)。2组复发率比较差异无统计学意义(
P
>
0.05)。
结论
2
纳米炭甲状旁腺负显影技术结合放大镜应用于甲状腺切除术中可有效减少对甲状旁腺组织的损伤,降低并发症发生率。
Objective
2
To investigate the application effect of nano-carbon parathyroid negative imaging technique under magnifying glass in thyroidectomy.
Methods
2
The clinical data of 100 patients underwent thyroidectomy in our hospital were retrospectively analyzed.According to whether the operator wore magnifying glass or not
the patients were divided into the control group(
n
=49) and the observation group(
n
=51). The perioperative indicators
serum parathyroid hormone (PTH)
blood calcium
complications
and recurrence of patients in the two groups were compared.
Results
2
The operation time and postoperative hospital stay of the observation group were shorter than those of the control group
the intraoperative blood loss was less than that of the control group
and the number of lymph node dissection was more than that of the control group
and the differences were statistically significant (
P
<
0.05).There was no difference in the total drainage volume or drainage time between the two groups (
P
>
0.05). The levels of serum PTH and blood calcium in the two groups after operation were lower than those before operation(
P
<
0.05)
but the serum PTH and blood calcium levels in the observation group were significantly higher than those in the control group (
P
<
0.05).The total incidence of complications in the observation group was lower than that in the control group (
P
<
0.05).There was no difference in the recurrence rate between the two groups (
P
>
0.05).
Conclusion
2
The application of nano-carbon parathyroid negative imaging technique combined with magnifying glass in thyroidectomy can effectively reduce the damage of the parathyroid tissues
which has lower incidence of complications.
纳米炭甲状旁腺负显影技术甲状腺切除术放大镜甲状旁腺功能
nano-carbon parathyroid negative imaging techniquethyroidectomymagnifying glassparathyroid function
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