Abstract：Objective: To explore the effect of drip bipolar coagulation on parathyroid glands and recurrent laryngeal nerve protection in thyroidectomy.method: 70 patients underwenttotalthyroidectomy were divided into research group and control group. Patients in the research group were treated by harmonic scalpel and drip bipolar coagulation operation thyroidectomy, and patients in the control group were treated by harmonic scalpel operation thyroidectomy. The operative time, bleeding, palsy of recurrent laryngeal nerve, the blood calcium and postoperative PTH were compared between the two groups. Results: There was no difference of the operative time and bleeding in the two groups(P >0.05). The complications of transient function insufficiency of parathyroid and transient palsy of recurrent laryngeal nerve were more in the control group (14.3% and 17.1%) than in the research group (2.8% and 5.7%) with statistical difference (P<0.05). There were no permanent function insufficiency of parathyroid and permanent palsy of recurrent laryngeal nerve in the two groups. Conclusion: Drip bipolar coagulation for thyroidectomy can effectively reduce the surrounding temperature of the tissue, and can protect the parathyroid and recurrent laryngeal nerve.
[1] E Foreman S,Aspinall R D,Bliss,et al. Use of harmonic scalpel in thyroidectomy: ‘beyond the learning curve’[J].Ann R Coll Surg Engl,2009,(91):214~216. [2] D Parmeggiani M,De Falco N, Avenia A,et al. Nerve sparing sutureless total thyroidectomy. Preliminary study[J].Ann Ital Chir,2012,(83):91~96. [3] Gullung JL, Halstead LA.Recurrentlaryneal nerve paresis postneumonectomy contralateral to site of surgery[J].2012, 94(2):628~630. [4] 付言涛,周乐,张大奇,等.非肉眼可见的喉返神经损伤的机制及其预防:术中神经监测系统在甲状腺手术中的应用[J].中华内分泌外科杂志,2011,5(4):268~270. [5] Guo J Y, et al. Outcomes of simple saline-coupled bipolar electrocautery for hepatic resection[J].World Gastroenterol, 2014. 20(26): 8638~8645.
2017, Vol. 23 
冀公网安备13080202000677号