Ligasure应用于腹腔镜下全子宫切除术的临床观察  

Clinical observation on ligasure used in laparoscopic panhysterectomy

作　　者：梁成霞 苏宗振 黎莲花[1] 莫春梅[1] 程丽敏[1] 何志新[1] 

机构地区：[1]广东省怀集县人民医院妇产科,526400

出　　处：《国际医药卫生导报》2011年第18期2224-2226,共3页International Medicine and Health Guidance News

基　　金：基金项目：肇庆市2011年第一批科技创新计划项目（2011E1310）

摘　　要：目的观察Ligasure（结扎束血管闭合系统）应用于腹腔镜下全子宫切除术的临床效果及安全性。方法选择我院2008年6月一2010年5月应用Ligasure行腹腔镜下全子宫切除术的36例患者为观察组，选择同期行传统的腹式全子宫切除术的36例患者为对照组；比较分析两种手术方法在手术时间、术中出血、术后使用抗生素时间、术后肛门排气时间、住院天数的差异，术后1个月、2个月门诊复查。结果观察组手术时间【f80±28）分vs．f100±25）分1、术中出血[（101±65）mlVS．（220±57）m1]明显少于对照组，术后使用抗生素时间、术后肛门排气时间、住院天数明显短于对照组。结论Ligasure应用于腹腔镜下全子宫切除术具有手术时间短、术中出血少、术后胃肠功能恢复迅速、住院时间短等优点，是行腹腔镜下全子宫切除术的一种较好的器械。Objective To observe the clinical efficacy and safety of ligasure （ligation beam vessel sealing system） used in laparoscopic panhysterectomy. Methods 36 cases in our hospital from February 2008 to December 2009 using Ligasure laparoscopic panhysterectomy were selected as the observation group, while other 36 cases with the same line of traditional abdominal panhysterectomy as the control group, the operation time, blood loss, postoperative use of antibiotics, length of postoperative flatus, length of stay, and hospital charges were all compared in these two surgical methods. All patients were rechecked in outpatient clinic 1 month and 2 months after treatment.Results The operation time and blood loss in observation group were significantly less than those in the control group. Antibiotics usage time, anal exhaust time, hospital stay were significantly shorter than those in the control group, but the hospital cost was significantly more than that of control group. Conclusion Ligasure used in laparoscopic panhysterectomy has the advantages of shorter operation time, less bleeding, rapid restoration of gas- trointestinal function and shorter hospital stay, etc, only except for the relative high cost of surgery, it＇s a good instrument for laparoscopic panhysterectomy surgery.

关 键 词：LIGASURE 腹腔镜 剖腹 子宫切除术 

分 类 号：R713[医药卫生—妇产科学]