超声刀行舌下腺及囊肿切除术37例分析

doi:10.3877/cma.j.issn.1674-1366.2015.02.010

中华口腔医学研究杂志(电子版) ›› 2015, Vol. 09 ›› Issue (02) : 140 -142. doi: 10.3877/cma.j.issn.1674-1366.2015.02.010

所属专题：文献；

临床研究

超声刀行舌下腺及囊肿切除术37例分析

陈伟生¹, 黄伟城¹^,^†(

), 吴泽键¹, 郑有华²

^1. 515300　普宁市人民医院口腔科
^2. 510055　广州，中山大学光华口腔医学院·附属口腔医院，广东省口腔医学重点实验室

收稿日期:2014-12-02 出版日期:2015-04-01
通信作者: 黄伟城

A clinical evaluation on ultrasonically activated scalpel in sublingual gland cyst surgery

Weisheng Chen¹, Weicheng Huang¹^,^†(), Zejian Wu¹, Youhua Zheng²

^1. Department of Stomatology, Puning People's Hospital, Puning 515300, China
^2. Guanghua School of Stomatology, Hospital of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China

Received:2014-12-02 Published:2015-04-01
Corresponding author: Weicheng Huang
About author:
Corresponding author: Huang Weicheng, Email: 634683849@qq.com

全文 ( ) 下载PDF ( ) 导出引用

目的

探讨超声刀在舌下腺及囊肿切除手术中应用的安全性及有效性。

方法

收集2012年8月至2014年10月舌下腺囊肿患者37例，使用超声刀完成舌下腺及囊肿切除手术，均获成功。

结果

37例切除手术时间20 ~ 60 min，平均35 min；术中出血10 ~ 25 ml，平均15 ml，无1例出现术中或术后并发症。

结论

超声刀止血效果好，能减少术中出血，简化手术操作，缩短手术时间。

关键词: 超声刀, 舌下腺囊肿, 外科手术

Objective

To evaluate the safety and efficacy of ultrasonically activated scalpel (UAS) in sublingual gland cyst surgery.

Methods

From August 2012 to October 2014, the clinical data of 37 consecutive patients undergoing sublingual gland cyst surgery using the UAS were recorded. All the operations were succeeded.

Results

The operation time of the 37 patients were 20 ~ 60 min with an average of 35 min. The intraoperative bleeding were 10 ~ 25 ml with an average of 15 ml. No intra-operative and post-operative complications occurred.

Conclusion

The UAS is a safe alternative for sublingual gland cyst surgery. The use of UAS can reduce the operation time and the intraoperative bleeding.

Key words: Ultrasonic activated scalpel, Sublingual gland cyst, Operation

图1~5 左舌下腺囊肿典型病例照片图1为左舌下区见1个大小约2 cm × 1 cm凸起肿物，浅紫蓝色，表面黏膜正常；图2为手术中使用的Harmonic刀头；图3为术中用超声刀切开分离组织；图4为术中用超声刀完整切除舌下腺；图5为术毕左舌下区创口缝合后情况

[1]	Amaral JF. The experimental development of an ultrasonically activated scalpel for laparoscopic use[J]. Surg Laparosc Endosc, 1994, 4(2): 92-99.
[2]	Roye GD,Monchik J,Amaral JF. Endoscopic adrenalectomy using ultrasonic cutting and coagulating[J]. Surg Technol Int, 2000(9): 129-138.
[3]	Minutolo V,Gagliano G,Rinzivillo C, et al. Usefullness of the ultrasonically activated scalpel in laparoscopic cholecystectomy: our experience and review of literature[J]. G Chir, 2008, 29(5): 242-245.
[4]	Salami A,Bavazzano M,Mora R, et al. Harmonic scalpel in pharyngotaryngeetomy with radical neck dissection[J]. J Otolaryngol Head Neck Surg, 2008, 37(5): 633-637.
[5]	Bessa SS,Al-Fayoumi TA,Katri KM, et al. Clipless laparoscopic cholecysteetomy by ultrasonic dissection[J]. J Laparoendosc Adv Surg Tech A, 2008, 18(4): 593-598.
[6]	Druzijani N,Perko Z,Kraljevi D, et al. Harmonic scalpel in transanal microsurgery[J]. Hepatogastroenterology, 2008, 55(82-83): 356-358.
[7]	王旭东,吴延升,曹晓莉, 等. Focus超声刀在开放性腮腺手术中的应用[J].中华口腔医学杂志, 2010, 45(6): 384.
[8]	Prgomet D,Janjanin S,Bura M, et al. The use of harmonic scalpel in head and neck surgery: a report on 161 patients[J]. Lijec Vjesn, 2008, 130(7-8): 178-182.
[9]	Siperstein AE,Berber E,Morkoyun E, et al. The use of the harmonic scapel vs conventional knot tying for vessel ligation in thyroid surgery[J]. Arch Surg, 2002, 137(2): 137-142.
[10]	Kanehira E,Omura K,Kinoshita T, et al. How secure are the arteries occluded by a newly developed ultrasonically activated device?[J]. Surg Endosc, 1999, 13(4): 340-342.
[11]	Ecker T,Carvalho AL,Choe JH, et al. Hemostasis in thyroid surgery: harmonic scalpel VeFSHS other techniques - a meta-analysis[J]. Otolaryngol Head Neck Surg, 2010, 143(1): 17-25.
[12]	Pons Y,Gauthier J,Ukkola-Pons E, et al. Comparison of LigaSure vessel sealing system, harmonic scalpel, and conventional hemostasis in total thyroidectomy[J]. Otolaryngol Head Neck Surg, 2009, 141(4): 496-501.
[13]	Agcaoglu O,Aliyev S,Mitchell J, et al. The use of the harmonic scalpel versus knot tying for modified radical neck dissection[J]. Surg Innov, 2013, 20(1): 81-85.
[14]	Metternich FU,Sagowski C,Wenzel S, et al. Preliminary results for superficial parotidectomy using the ultrasonically activated scalpel(Ultracision Harmonic Scalpel)[J]. Laryngorhinootologie, 2003, 82(7): 514-519.

[1]	李辉, 吴奇, 张子琦, 张晗, 王仿, 许鹏. 日间全膝关节置换术早期疗效及标准化流程探索[J]. 中华关节外科杂志(电子版), 2023, 17(06): 889-892.
[2]	陈严城, 忻慰, 李世傲, 钱嘉天, 钱齐荣, 牛大伟, 赵天磊, 符培亮. 髋膝关节置换日间手术和住院手术的倾向性匹配研究[J]. 中华关节外科杂志(电子版), 2023, 17(04): 462-469.
[3]	张银银, 李颖, 李启活, 郭海威, 田瀚, 钟业霖. 髋腰综合征诊断与手术治疗的研究进展[J]. 中华关节外科杂志(电子版), 2023, 17(04): 549-553.
[4]	王玲燕, 邹磊, 洪亮, 宋三兵, 付润, 熊胜男, 宋晓春. 心脏外科术后患者并发低三碘甲状腺原氨酸综合征的影响因素分析[J]. 中华危重症医学杂志(电子版), 2023, 16(05): 399-402.
[5]	黄来明, 张旭东. 雾化吸入布地奈德混悬液联合气管导管涂抹达克罗宁胶浆对改善妇科腹腔镜手术气管插管全身麻醉患者咽喉部不适作用[J]. 中华妇幼临床医学杂志(电子版), 2023, 19(04): 480-486.
[6]	刘林峰, 王增涛, 王云鹏, 钟硕, 郝丽文, 仇申强, 陈超. 足底内侧皮瓣联合甲骨皮瓣在手指V度缺损再造中的临床应用[J]. 中华损伤与修复杂志(电子版), 2023, 18(06): 480-484.
[7]	张浩, 张万福, 韩飞, 佟琳, 王运帷, 李少辉, 陈阳, 曹鹏, 官浩. 游离组织瓣治疗无吻合血管或需困难吻合血管创面的临床进展[J]. 中华损伤与修复杂志(电子版), 2023, 18(05): 442-446.
[8]	李双喜, 胡宗凯, 赵静, 黄洁. 肝血管瘤治疗指征及治疗策略[J]. 中华肝脏外科手术学电子杂志, 2023, 12(05): 504-510.
[9]	田驹, 孙伯洋, 杨荣华, 赵向前. 术中意外发现肝外胆管绒毛管状腺瘤的外科处理经验：附两例报道并文献复习[J]. 中华肝脏外科手术学电子杂志, 2023, 12(05): 567-571.
[10]	张天献, 吕云福, 郑进方. 胆总管结石微创治疗进展[J]. 中华肝脏外科手术学电子杂志, 2023, 12(05): 585-588.
[11]	廖承煜, 江斌华, 黄龙, 王丹凤, 田毅峰, 陈实. 腹腔镜下肝左叶肝内胆管细胞癌根治术优化三步法的应用价值[J]. 中华肝脏外科手术学电子杂志, 2023, 12(04): 395-400.
[12]	吴周宇, 周宝勇, 李明. 基于PSM分析腹腔镜肝门部胆管癌根治术安全性[J]. 中华肝脏外科手术学电子杂志, 2023, 12(04): 384-388.
[13]	王勋, 石荣, 王菁. 新型可自由选择调节开环的痔上黏膜手术暴露辅助器械在痔吻合器手术中应用的临床疗效研究[J]. 中华结直肠疾病电子杂志, 2023, 12(04): 319-325.
[14]	李晓东, 魏云. 冠状切口额下入路治疗前颅窝巨大脑膜瘤[J]. 中华神经创伤外科电子杂志, 2023, 09(05): 318-319.
[15]	程相阵. 腹茧症9例诊治分析并文献复习[J]. 中华临床医师杂志(电子版), 2023, 17(9): 968-971.

阅读次数

全文

摘要

选择文件类型/文献管理软件名称

选择包含的内容

A clinical evaluation on ultrasonically activated scalpel in sublingual gland cyst surgery

模态框（Modal）标题

选择文件类型/文献管理软件名称

选择包含的内容

A clinical evaluation on ultrasonically activated scalpel in sublingual gland cyst surgery