超声刀配合双极电凝在腹腔镜全子宫切除术中的应用.docVIP

精品论文 参考文献 超声刀配合双极电凝在腹腔镜全子宫切除术中的应用 李焱(通讯作者) 熊小琴 祝健蝉 　　（广东省江门市人民医院 529020） 　　【摘要】目的 探讨超声刀配合双极电凝在腹腔镜全子宫切除术中的应用价值。方法 选择符合入选标准的子宫肌瘤患者80例，采用腹腔镜全子宫切除，随机分为两组，实验组采用超声刀配合双极电凝的方法，共40例，对照组采用双极电凝配合单级电凝的方法，共40例。比较两组间在手术时间、术中出血量、年龄及术后住院时间的差异。结果 实验组在手术时间、术中出血量方面优于对照组，有统计学差异；年龄及术后住院时间两组无统计学差异。结论 腹腔镜下超声刀配合双极电凝切除子宫安全可靠，是行之有效的手术方法。 　　【关键词】 腹腔镜 超声刀 双极电凝 子宫切除术 　　【中图分类号】R713.4+2 【文献标识码】A 【文章编号】2095-1752（2014）08-0119-02 　　 　　The application value of the ultrasonic scalpel combining bipolar coagulation in laparoscopic hysterectomy 　　LI Yan, XONG Xiao Qing, ZHU Jian Chan 　　Department of Gynecology，the Peoplersquo;hospital of Jiangmen City，Guangdong Province，529020，China 　　【Abstract】Objective To investigate the application value of the ultrasonic scalpel combining bipolar coagulalion in laparoscopic hysterectomy．Method 80 patients with hysteromyoma were divided into two groups at random before operation．40 cases were operated by the ultrasonic scalpel combining bipolar coagulation in experimental group ．40 patients were performed hysterectomy with the bipolar coagulation combining monopole coagulation in Control group．The operation time，amount of bleeding，age and hospitalized time of postoperation of the two groups were compared．Result The experimental group is better than the control group in the operation time and amount of bleeding.There were significant Differences between two groups. There was no significantly difference between two groups in hospitalized time of post operation and age. Conclusion It is safe and reliable that the laparoscopy hysterectomy was performed by the uhrasonic scalpel combining bipolar coagulation． 　　【Key words】 Laparoscopy Hysterectomy Ultrasonic scalpel Bipolar coagulation 　　子宫肌瘤为女性生殖器官的最常见的肿瘤，30—50岁的女性为主要发病人群，临床资料显示超过20％育龄妇女有子宫肌瘤[1]。腹腔镜全子宫切除术 (Total laparoscopic hysterectomy.TLH)具有创伤小、恢复快和术后并发症少等优点，近来逐渐被广大患者所接受[2]。而子宫血管的有效处理是TLH成功的关键。双极电凝在手术中具备止血彻底与快速性的优点，是一种应用广泛、经济的止血方法。超声刀具有手术视野清晰、对