LigaSure血管闭合系统、超声刀及电刀在腹腔镜阑尾切除术中应用的对比分析  

Application of LigaSure vessel sealing system,Ultracision Harmonic scalpel and electrocautery in laparoscopic appendectomy:a contrast analysis

作　　者：丁宏文[1] 毕晓晨[1] 

机构地区：[1]杭州市第三人民医院外科,杭州310009

出　　处：《解放军医学杂志》2011年第4期393-394,共2页Medical Journal of Chinese People's Liberation Army

摘　　要：目的比较应用LigaSure血管闭合系统、超声刀及单极高频电刀行腹腔镜阑尾切除术的临床治疗效果。方法回顾性分析2005年5月-2010年4月213例住院行腹腔镜阑尾切除术患者的临床资料,术中71例使用LigaSure血管闭合系统(LigaSure组)、73例使用超声刀(超声刀组)、69例使用单极高频电刀(电刀组),比较3组的临床治疗效果。结果 213例患者均顺利完成手术,无中转开腹者,无严重并发症发生。LigaSure组和超声刀组的平均手术时间、术中出血量低于电刀组,平均住院费用高于电刀组(P<0.05),而LigaSure组和超声刀组之间比较无显著差异(P>0.05);3组平均术后肠蠕动恢复时间、住院天数比较无显著差异(P>0.05)。结论使用LigaSure血管闭合系统或超声刀行腹腔镜阑尾切除术可缩短手术时间,减少术中出血,提高手术安全性。Objective To compare the clinical therapeutic effects of LigaSure vessel sealing system,Ultracision Harmonic scalpel（UHS） and monopolar high frequency electrocautery in laparoscopic appendectomy.Methods The clinical data of 213 patients undergone laparoscopic appendectomy from May 2005 to Apr.2010 were retrospectively analyzed.The LigaSure vessel sealing system was used in 71 cases（LigaSure group）,Ultracision Harmonic scalpel in 73 cases（UHS group）,and monopolar electrocautery in 69 cases（ME group）.The clinical outcome of three groups was then compared.Results Operation was successful in all the 213 patients without switching to open laparotomy or serious complications.The mean operation time and intraoperative blood loss were less,while the hospitalization cost was higher in LigaSure group and UHS group than in ME group（P〈0.05）,but no significant difference of it was found between LigaSure group and UHS group（P〉0.05）.There was no significant difference in the recovery time of bowel peristalsis and hospital stay days among the 3 groups（P〉0.05）.Conclusion The use of LigaSure vessel sealing system and Ultracision Harmonic scalpel in laparoscopic appendectomy may shorten the operation time,reduce intraoperative blood loss and improve surgical safety.

关 键 词：LIGASURE血管闭合系统 超声疗法 电凝术 腹腔镜检查 阑尾切除术 

分 类 号：R656.8[医药卫生—外科学]