目的：研究“L”形拉钩在腔镜甲状腺功能亢进手术中的应用价值。方法整群抽选2013年7月-2014年8月该院收治的甲状腺功能亢进患者112例，随机法分为观察组(n=56﹚和对照组(n=56﹚，观察组行“L”形拉钩腔镜甲状腺大部切除术，对照组采用常规腔镜手术方法切除，术中缝扎腺体进行牵拉。比较两组患者手术时间、术中出血量、住院时间及并发症发生情况。结果观察组手术时间(109.8±12.4﹚min、出血量(106.3±15.7﹚mL、住院时间(5.3±1.2﹚d与对照组(138.6±56.2﹚min、(147.2±50.9﹚mL、(7.6±2.8﹚d比较显著较少，差异有统计学意义(P<0.05﹚；观察组并发症发生率7.1%显著低于对照组26.8%，差异有统计学意义(P<0.05﹚。结论“L”形拉钩应用于腔镜甲状腺功能亢进手术中，操作方便、简单，能显著缩短手术时间、减少出血量，且术后并发症少，安全性高，值得推广。%Objective To research the application value of "L" shape retractor in the laparoscopic hyperthyroidism surgery. Methods 112 cases of patients with hyperthyroidism treated in our hospital from July 2013 to August 2014 were selected and randomly divided into two groups with 56 cases in each, the observation group were treated with"L"shape retractor la-paroscopic subtotal thyroidectomy, the control group were treated with the routine endoscopic surgical resection, the glands were sutured to stretch during operation, the operation time, the intraoperative blood loss, length of stay and the occurrence of complications of the two groups were compared. Results The operation time, the blood loss and the length of stay in the observation group were obviously less than those in the control group (109.8±12.4﹚min, (106.3±15.7﹚ml, (5.3±1.2﹚d vs (138.6±56.2﹚min, (147.2±50.9﹚ml, (7.6±2.8﹚d, the differences were statistically significant(P<0.05﹚;the incidence of com-plications in the observation group was obviously lower than that in the control group (7.1% vs 26.8%), the difference was statistically significant (P<0.05﹚. Conclusion The "L" shape retractor in the laparoscopic hyperthyroidism surgery has an easy and convenient operation, and it can obviously shorten the operation time and reduce the blood loss with few postoper-ative complications and high security, which is worth promoting.
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