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使用谐波器械和电灼术的颈部解剖：一项系统评价

Neck Dissection with Harmonic Instruments and Electrocautery: A Systematic Review.

作者信息

Dedivitis Rogério Aparecido, de Matos Leandro Luongo, Castro Mario Augusto Ferrari, Petrarolha Sílvia Migueis Picado, Kowalski Luiz Paulo

机构信息

Department of Head and Neck Surgery, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil.

Department of Head and Neck Surgery, Hospital das Clínicas, Faculty of Medicine, University of São Paulo, São Paulo, SP, Brazil.

出版信息

Int Arch Otorhinolaryngol. 2024 Feb 5;28(4):e702-e707. doi: 10.1055/s-0044-1779010. eCollection 2024 Oct.

DOI:10.1055/s-0044-1779010
PMID:39464355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11511277/
Abstract

The harmonic scalpel (HS) is a technique introduced to reduce blood loss and intraoperative time during neck dissection (ND).  To compare the results of HS with traditional hemostasis in ND through a systematic review and metanalysis.  A computer-based strategy of systematic literature survey included research in the MEDLINE, EMBASE, and Cochrane Library databases from January 2007 up to August 2022. The survey strategy employed was [harmonic scalpel OR ultrasonic scalpel] AND neck dissection.  There were 61 articles identified that addressed the use of HS in patients undergoing ND. From those, 10 randomized clinical trials were selected, comprising 264 cases of ND using HS and 262 cases of ND without HS.  The use of HS for ND significantly reduces the operative time, intraoperative bleeding, volume of draining fluid, and the number of ligatures.

摘要

谐波手术刀（HS）是一种为减少颈部清扫术（ND）期间的失血和手术时间而引入的技术。通过系统评价和荟萃分析比较HS与传统止血方法在ND中的效果。基于计算机的系统文献检索策略包括对2007年1月至2022年8月期间MEDLINE、EMBASE和Cochrane图书馆数据库中的研究。采用的检索策略为[谐波手术刀或超声手术刀] AND颈部清扫术。共识别出61篇关于HS在接受ND患者中应用的文章。从中选取了10项随机临床试验，包括264例使用HS的ND病例和262例未使用HS的ND病例。在ND中使用HS可显著缩短手术时间、减少术中出血、引流液量和结扎数量。

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Auris Nasus Larynx. 2017 Oct;44(5):590-595. doi: 10.1016/j.anl.2016.11.004. Epub 2016 Dec 20.
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Harmonic scalpel impact on blood loss and operating time in major head and neck surgery: a randomized clinical trial.
谐波手术刀对重大头颈外科手术中失血及手术时间的影响：一项随机临床试验
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Comparison of spinal accessory dysfunction following neck dissection with harmonic scalpel and electrocautery - A randomized study.使用超声刀和电灼法行颈部廓清术后副神经功能障碍的比较——一项随机研究
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