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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >Ultrasonic technology facilitates minimal access thyroid surgery.
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Ultrasonic technology facilitates minimal access thyroid surgery.

机译：超声波技术有助于甲状腺手术的最小化。

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OBJECTIVES: Options for controlling the vasculature during thyroid surgery include suture ligatures, vessel clips, and bipolar cautery. Ultrasonic technology represents an alternative to conventional techniques in which the vessels are simultaneously sealed and divided. We sought to determine the safety and efficacy of thyroidectomy with ultrasonic technology. DESIGN: Nonrandomized, prospective analysis of a series of patients undergoing thyroidectomy at the Medical College of Georgia. METHODS AND MATERIALS: The records of 51 consecutive patients who underwent thyroid surgery between December 2004 and June 2005 were reviewed. Patients in whom ultrasonic technology (Harmonic-ACE, Ethicon Endo-Surgery, Cincinnati, OH) was used comprised the study population. RESULTS: Forty-four of 51 patients underwent thyroidectomy with the assistance of ultrasonic technology. There were 4 males and 40 females with a mean age of 43.5 +/- 15.8 years. Twenty-two patients had a total thyroidectomy, 18 underwent unilateral lobectomy, and 4 underwent completion thyroidectomy. The overall mean incision length was 5.0 +/- 2.6 (range 2-12) cm. A subgroup of patients underwent minimally invasive video-assisted thyroidectomy (n = 13) and had a mean incision length of 29.3 +/- 0.8 mm. There were no cases of permanent injury to the recurrent laryngeal nerve and no cases of persistent hypoparathyroidism. Blood loss ranged from 5 mL to 100 mL, with a mean of 26.7 +/- 21.8 mL. CONCLUSIONS: Ultrasonic technology facilitates thyroid surgery, particularly when a minimally invasive approach is undertaken. It reliably seals and divides the thyroid vasculature and will likely replace other methods of managing the thyroid blood supply.
机译：目的：在甲状腺手术中控制脉管系统的选择包括缝合结扎线，血管夹和双极电灼术。超声技术代表了常规技术的替代方法，在常规技术中，将血管同时密封并分开。我们试图通过超声技术确定甲状腺切除术的安全性和有效性。设计：佐治亚医学院的一系列甲状腺切除术患者的非随机前瞻性分析。方法和材料：回顾性分析了2004年12月至2005年6月间连续接受甲状腺手术的51例患者的病历。使用超声技术（Harmonic-ACE，Ethicon Endo-Surgery，辛辛那提，俄亥俄州）的患者为研究人群。结果：51例患者中有44例在超声技术的辅助下进行了甲状腺切除术。男4例，女40例，平均年龄43.5 +/- 15.8岁。 22例患者行了甲状腺全切术，其中18例接受了单侧肺叶切除，4例接受了全甲状腺切除。总体平均切口长度为5.0 +/- 2.6厘米（范围2-12）cm。一小组患者接受了微创电视辅助甲状腺切除术（n = 13），平均切口长度为29.3 +/- 0.8 mm。没有复发性喉返神经永久损伤的病例，也没有持续性甲状旁腺功能低下的病例。失血量从5毫升到100毫升不等，平均26.7 +/- 21.8毫升。结论：超声技术促进甲状腺手术，特别是当采用微创方法时。它可以可靠地密封和分裂甲状腺血管，并有可能取代其他管理甲状腺血液供应的方法。

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