兰州大学机构库 >学院待认领
超声刀与高频电刀在甲状腺切除术中安全性系统评价
Alternative TitleHarmonic scalpel versus Electro-coagulation in thyroid surgery: a systematic review
张天翼
Thesis Advisor关泉林
2013-05-21
Degree Grantor兰州大学
Place of Conferral兰州
Degree Name硕士
Keyword超声刀 高频电刀 甲状腺切除术 meta分析
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 AbstractTo 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
Language中文
Document Type学位论文
Identifierhttps://ir.lzu.edu.cn/handle/262010/223750
Collection学院待认领
Affiliation临床医学院
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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