宫颈癌腹腔镜下广泛子宫切除及盆腔淋巴结清扫术中应用可溶性止血纱布的疗效分析.docVIP

宫颈癌腹腔镜下广泛子宫切除及盆腔淋巴结清扫术中应用可溶性止血纱布的疗效分析 Clinic effect of absorbable antibleeding gauze on laparoscopic radical hysterectomy and lympha denectomy 杨立1，张颖2，赵书君1，赵倩2 1 郑州大学第三附属医院 妇产科 河南 郑州 450052 2 郑州大学第一附属医院 妇产科 河南 郑州 450052 Yang Li1，Zhang Ying2，Zhao Shujun1，Zhao Qian2 1 The department of gynaecology and obstetrics in the 3rd subsidiary hospital of Zhengzhou univiersity. Zhengzhou. Henan Province 450052 2 The department of gynaecology and obstetrics in the 1st subsidiary hospital of Zhengzhou univiersity. Zhengzhou. Henan Province 450052 摘要 目的 评价可溶性止血纱布在早期宫颈癌腹腔镜下广泛子宫切除及盆腔淋巴结清扫术中的应用价值。方法 40例行腹腔镜下广泛子宫切除及盆腔淋巴结清扫术的宫颈癌患者术中应用可溶性止血纱布做为实验组，选择同期行腹腔镜下广泛子宫切除及盆腔淋巴结清扫术的宫颈癌患者56例术中未放置可溶性止血纱布做为对照组，比较两组的术后24h凝血功能、术后放置腹腔引流管时间、腹腔引流量、术后产生盆腔淋巴囊肿的患者比例。结果 实验组的术后引流量和留置引流管时间均小于对照组，但两组术后24h的凝血功能、术后1周、2周、4周累计产生盆腔淋巴囊肿的例数无差别。 结论 可溶性止血纱布可减少腹腔镜下广泛子宫切除及盆腔淋巴结清扫术术后腹腔引流，为妇科腹腔镜手术止血多了一个措施。 Abstract Objective: To evaluate the application value of the absorbable antibleeding gauze on laparoscopic radical hysterectomy and lympha denectomy. Methods: 40 cases of patients of Keywords: Antibleeding gauze，hysterectomy with laparoscope, lympha denectomy and lympha denectomy are classified as the experimental group since they were treated with the absorbable antibleeding gauze. 56 cases of patients ofaparoscopic radical hysterectomy and lympha denectomy are the control group since they did not use the absorbable antibleeding gauze. The ratio of 24h coagulation function test; placement time of abdominal cavity drainage tube; drainage volume; pelvic cavity lympha scrotum after operation are compared. Result: The drainage volume is less than the control group, the placement time of abdominal cavity drainage tube is shorter than the control group. The 24h coagulation function tests shows no difference. The cases of pelvic cavity lympha scrotum after the operation for 1 week; 2 weeks; and 4 weeks show no difference. Result: The absorbable antibleeding gauze decreases the drainage volume of the abdominal cavity a