| 超声刀与高频电刀在甲状腺切除术中安全性系统评价 |
| Alternative Title | Harmonic scalpel versus Electro-coagulation in thyroid surgery: a systematic review
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| 张天翼 |
| Thesis Advisor | 关泉林
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| 2013-05-21
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| Degree Grantor | 兰州大学
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| Place of Conferral | 兰州
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| Degree Name | 硕士
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| Keyword | 超声刀
高频电刀
甲状腺切除术
meta分析
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| Abstract | 通过系统评价的方法，研究甲状腺切除术中超声刀与高频电刀在手术时间、术中出血、术后引流量、术后低血钙发生率、术后神经损伤发生率、术后血肿发生率和住院时间中的差异，从而探讨超声刀在甲状腺手术中的安全性。最终纳入10篇随机对照试验（n=964），meta分析结果显示超声刀组（HS）和高频电刀组在手术时间（WMD=-22.07，95%CI：-30.00~-14.14，P<0.05）、术中出血（WMD=-18.32，95%CI：-23.03~-13.61，P<0.05）、术后引流量（WMD=-22.61，95%CI：-33.47~-11.75，P<0.05）、术后低血钙发生率（OR=0.33，95%CI：0.20~0.55，P<0.05）方面差异有统计学意义。但在术后喉返神经麻痹（OR=1.06，95%CI：0.42~2.69，P=0.91）、术后血肿（OR=0.44，95%CI：0.15~1.31，P=0.14）和住院时间（WMD=-0.09，95%CI：-0.21~-0.40，P=0.55）方面差异无统计学意义。 |
| Other Abstract | To assess the safety of the harmonic scalpel versus electrosurgical in thyroid surgery. Ten prospective randomized controlled trials were included in this meta-analysis (n=964). there was significant difference in mean operating time reduction for the harmonic scalpel was equivalent to 22.07 minutes（WMD=-22.07，95%CI：-30.00~-14.14，P<0.05）; When harmonic scalpel was used, blood loss was reduced significantly（WMD=-18.32，95%CI：-23.03~-13.61，P<0.05）; There was no difference in the incidence of transient RLND （OR=1.06，95%CI：0.42~2.69，P=0.91）,but a lower rate of transient hypocalcaemia with the use of the HS （OR=0.33，95%CI：0.20~0.55，P<0.05）. Current evidence suggests that compared to electro-coagulation, harmonic scalpel in thyroidectomy can shorten the operation time, reduce bleeding, reduce postoperative drainage, while reducing postoperative complications hypocalcaemia, shorter hospital stays. |
| URL | 查看原文
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| Language | 中文
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| Document Type | 学位论文
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| Identifier | https://ir.lzu.edu.cn/handle/262010/223750
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| Collection | 学院待认领
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| Affiliation | 临床医学院
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Recommended Citation
GB/T 7714 |
张天翼. 超声刀与高频电刀在甲状腺切除术中安全性系统评价[D]. 兰州. 兰州大学,2013.
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