结扎血管封闭与常规缝合结扎在甲状腺切除术中的应用

Esculapio Pub Date : 2023-05-13 DOI:10.51273/esc23.251911
A. Rafique, F. Hameed, Muhammad Khurram Jameel, H. Alam, Hafiza Shehla Arshad, Ahmed Z. Kaleem, M. Qazi
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引用次数: 0

摘要

目的:评价甲状腺切除术后多结节性甲状腺肿患者结扎封闭与标准缝合封闭的疗效。方法:本研究的目的是评估甲状腺切除术后多结节性甲状腺肿患者结扎密封与标准缝合密封的疗效。这项研究是在巴基斯坦拉合尔的梅奥医院进行的,特别是在普通外科。结扎组为A组,B组为传统缝合结扎组。记录手术的平均持续时间、患者术后感到的不适的平均量以及术后收集的引流液的平均量。结果:共有80人参与了这项研究。A组平均手术时间67.3±6.9分钟,B组平均手术85.6±8.3分钟;这一差异具有统计学意义(p0.000001)。A组患者平均报告2.6±1.3个单位的疼痛,而B组患者报告1.7±0.7个单位的痛苦;这一差异具有统计学意义(p 0.001)。A组患者术后平均排水量为53.5±4.9ml,而B组患者的排水量为68.2±7.3ml;这种差异具有统计学意义(p=0.0001)。结论:使用结扎密封的甲状腺手术是标准方法的一种有效且安全的替代方法,可显著减少手术后的停机时间、减少不适和减少引流。
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Ligasure Vessel Sealing Versus Conventional Suture Ligation in Thyroidectomy
Objective: To evaluate the efficacy of ligature sealing versus standard suture sealing for multinodular goiter patients after thyroidectomy. Method: The aim of our study is to evaluate the efficacy of ligature sealing versus standard suture sealing for multinodular goiter patients after thyroidectomy. The research was done in the Mayo Hospital in Lahore, Pakistan, specifically in the General Surgery Division. Ligasure-sealed patients made up Group A, while those in Group B were treated with traditional suture-ligation. The average duration of surgery, the average amount of discomfort felt by the patient afterward, and the average amount of drain fluid collected aftersurgery were all recorded. Results: Eighty people in total participated in the study. Patients in Group-Ahad an average operation time of 67.3±6.9 minutes, while those in Group-B averaged 85.6±8.3 minutes; this difference was statistically significant (p0.000001). Patients in group Areported an average of 2.6±1.3 units of pain, while those in group B reported 1.7±0.7 units of pain; this difference was statistically significant (p 0.001). Patients in Group-A had a mean drain output of 53.5±4.9 ml following surgery, while those in Group-B had an output of 68.2±7.3 ml; this difference was statistically significant (p = 0.0001). Conclusion: Thyroid surgery using ligature sealing is an effective and safe alternative to the standard approach, resulting in significantly less downtime, less discomfort, and less drainage after the procedure.
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