Abstract：Objective: To explore the effect of drip bipolar coagulation in thyroid surgery. Method: 520 patients underwent thyroid operation were divided into research group and control group. Patients in the research group were treated by drip bipolar coagulation and patients in the control group were treated by harmonic scalpel in thyroidectomy. The operative time, bleeding, palsy of recurrent laryngeal nerve, total lead flow after operation, postoperative PTH and the blood calcium were compared between the two groups. Result: There was no difference of the operative time and bleeding in the two groups (P >0.05), but the total lead flow after operation were statistical difference (P<0.05). The complications of transient palsy of recurrent laryngeal nerve and transient function insufficiency of parathyroid were more in the control group (8.4% and 9.2%) than in the research group (4.2% and 5.0%) with statistical difference (P<0.05). There were no permanent palsy of recurrent laryngeal nerve and permanent function insufficiency of parathyroid in the two groups. Conclusion: Drip bipolar coagulation for thyroid operation is safe and can effectively reduce the surrounding temperature of the important tissue, and can protect the recurrent laryngeal nerve and parathyroid and shorten the time of drain in the wound.
[1] 赵冰玉.超声弹性成像对甲状腺良恶性结节的诊断价值[J].实用临床医药杂志,2017,21(01):139~140. [2] 攀友本,郑起.甲状腺和甲状旁腺内镜手术学[M].上海:上海科技出版社,2014.208~232. [3] Iorgulescu R, Bistriceanu I, Badanoiu D, et al. Non-recurrent inferior laryngeal nerve: case report and review of the literature[J].Med Life, 2014, 7(4):90~94. [4] Kamani D, Potenza AS, Cernea CR, et al. The nonrecurrent laryngeal nerve: anatomic and electrophysiologic algorithm for reliable identification[J].Laryngoscope, 2015, 125(2):503~508. [5] E. Foreman, S. Aspinall, R.D. Bliss, Twj Lennard. Use of harmonic scalpel in thyroidectomy: beyond the learning curve[J].Ann R Coll Surg Engl,2009,91:214~216. [6] D. Parmeggiani, M. De Falco, N. Avenia, A. Sanguinetti, A. Fiore, G. Docimo, et al. Nerve sparing sutureless total thyroidectomy. Preliminary study[J].Ann Ital Chir,2012,83:91~96. [7] 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. [8] Gullung JL, Halstead LA.Recurrent laryneal nerve paresis postneumonectomy contralateral to site of surgery[J].2012, 94(2):628~630. [9] Guo J Y, et al. Outcomes of simple saline-coupled bipolar electrocautery for hepatic resection[J].World Gastroenterol, 2014,20(26): 8638~8645. [10] Zhu J, Tian W, Xu Z, et al. Expert consensus statement on parathyroid protection in thyroidectomy[J].Ann Transl Med, 2015, 3(16):230.
2017, Vol. 23 
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