Comparison of Application of Dripping Bipolar Electrocoagulation Forceps and Ultrasonic Scalpel in Protecting Parathyroid Glands During Thyroid Surgery
XUE Junxing, ZHANG Liuyang, LI Bo, et al
The Affiliated Hospital of Chengde Medical College, Hebei Chengde 067000, China
Abstract：Objective: To compare the effect of using the drip bipolar coagulation forceps versus harmonic scalpel to protect parathyroid glands in thyroid surgery. Methods: Seventy two patients indicated for thyroid surgery were divided into two groups: the drip bipolar coagulation forceps group underwent surgery, the harmonic scalpel respectively. All operations were performed by the same group of doctors. The total operation time, intraoperative bleeding, postoperative drainage, and postoperative hypoparathyroidism were compared. Results: There were 36 valid cases in the drip bipolar coagulation forceps group,and 36 cases in the harmonic scalpel group. There were no significant differences between two groups in patients of age, gender disease composition, and thyroid nodule diameter(P>0.05).Also the total operation time,intraoperative bleeding make no differences(P>0.05). The postoperative drainage of the drip bipolar coagulation forceps group was less than that of harmonic scalpel group (P<0.05). The incidence of transient postoperative hypoparathyroidism in the drip bipolar coagulation forceps group were significantly lower than those in the harmonic scalpel group(P<0.05).Both groups do not exist patient of postoperative bleeding and permanent postoperative hypoparathyroidism. Conclusion: The drip bipolar coagulation forceps is better than the ultrasonic scalpel.
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2017, Vol. 23 
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