摘要
目的观察超声刀在腮腺肿瘤手术中的应用效果。方法选取2015年3月-2017年6月在医院进行腮腺肿瘤切除的患者86例,将其随机分为研究组和常规组各43例,均进行手术治疗,研究组采用超声刀对肿瘤进行切除,常规组采用电刀对肿瘤进行切除,比较2组患者手术时间、术中出血量、术后引流量及住院时间等治疗情况,以及并发症情况和术后发热的发生率,并采用VAS评分表,记录2组患者术后8 h、32 h、56 h疼痛情况及病理分型。结果研究组患者手术时间及住院时间均明显短于常规组,术中出血量及术后引流量也明显少于常规组,差异均有统计学意义(P<0.05);2组患者病理分型基本相同,差异无统计学意义(P>0.05);而研究组在术后8 h、32 h及56 h的VAS评分均明显低于常规组,差异均有统计学意义(P<0.05);常规组总并发症发生率及术后发热发生率均明显高于研究组,差异均有统计学意义(P<0.05)。结论在腮腺肿瘤切除术中,使用超声刀将肿瘤及相邻组织进行切除,能够显著降低术中出血量及手术时间等,对减轻术后引流量及患者疼痛程度也有明显益处,同时可降低患者术后出现面神经麻痹等并发症,一定程度上可促进患者症状的恢复,值得推广。
Objective To observe the application effect of ultrasonic scalpel in parotid tumor surgery. Methods 86 cases of parotid tumor resection patients in the hospital from March 2015 to June 2017 were slected as research object,and were randomly divided into study group and conventional group with 43 cases of each group. They all performed surgical treatment. In the study group,the tumor was excised by ultrasonic knife,and the conventional group was excised by electric knife.The operative time,intraoperative blood loss,postoperative drainage,hospital stay,the complications and the incidence of postoperative fever were compared between the two groups. The pain scores and pathological typing of two groups were recorded at 8 h,32 h,56 h after operation,respectively. Results The operative time and hospitalization time in the study group were significantly shorter than those in the conventional group,and the intraoperative blood loss and postoperative drainage volume were also significantly less than those in the conventional group,the differences were statistically significant（ P 0. 05）. The pathological classification of the two groups was basically the same,and the difference was not statistically significant（ P 0. 05）;While the study group at 8 h,32 h and 56 h VAS scores were significantly lower than those in the conventional group,the differences were statistically significant（ P 0. 05）. The incidence of complications and the incidence of postoperative fever in the study group were lower than those in the conventional group,and the differences were statistically significant（ P 0. 05）.Conclusion In the parotid gland,tumor and adjacent tissues were excised by ultrasonic scalpel,can significantly reduce the amount of bleeding and operation time,also has the obvious benefit to reduce postoperative drainage and pain degree. At the same time,it can reduce the postoperative complications such as facial paralysis and other complications,to some extent,it can promote the recovery of the patients＇ symptoms,and it is worth promoting.
出处
《临床合理用药杂志》
2018年第4期60-61,63,共3页
Chinese Journal of Clinical Rational Drug Use
关键词
超声刀
腮腺肿瘤
应用效果
Ultrasonic scalpel
Parotid gland tumor
Application effect
