超声刀在腮腺肿物切除术中应用的比较研究

摘要

Objective To explore the application of harmonic scalpel in parotid tumor resection . Methods There were 28 cases from January 2010 to June 2011 receiving parotid surgery with conventional hemostasis ( CH group ) mainly by transfixion and suture ligation and 32 cases from July 2011 to December 2012 undergoing surgery with harmonic scalpel ( HS group ) .The total operative time, intraoperative bleeding volume , postoperative drainage volume , and surgical complications were compared between the two groups. Results As compared with the CH group , the HS group had significantly shorter total operative time [(51.7 ±5.3) min vs.(82.3 ±4.7) min, t=-23.534, P=0.000] and less intraoperative bleeding volume [21 (18-30) ml vs.65 (58-75) ml, Z=-6.653, P =0.000].The surgical complications and postoperative drainage volume showed no significant differences between the two groups .There were 1 case of temporary facial nerve paralysis in the HS group and 1 case of parotid gland fistula in the CH group. Conclusion HS can significantly shorten the operation time and reduce intraoperative bleed loss volume and complications , which is worthy of clinical promotion .%目的：探讨超声刀在腮腺肿物切除术中应用的价值。方法在腮腺肿物切除术中，2010年1月～2011年6月28例使用传统手术方式（以结扎和缝扎为主要止血方式），2011年7月～2012年12月32例使用超声刀手术。比较2组手术时间、术中出血量、术后引流量和并发症。结果与传统组比较，超声刀组手术时间短[（51．7±5．3） min vs．（82．3±4．7） min， t＝－23．534， P＝0．000]，出血量少[中位数21（18～30） ml vs．65（58～75） ml， Z＝－6．653， P＝0．000]，2组术后引流量和并发症发生率差异无显著性。超声刀组1例暂时性面神经麻痹，传统组1例腮腺涎漏。结论超声刀应用于腮腺手术中，缩短手术时间，减少出血量，无明显并发症发生，安全，有效，值得推广应用。