超声刀在子宫颈癌手术中优缺点的讨论  

The Advantages and Drawbacks of Harmonic Scalpel in the Surgery for Carcinoma of Uterine Cervix

作　　者：陈梦[1] 王晓莉[1] 王璟[1] 

机构地区：[1]成都市第二人民医院妇产科,成都610017

出　　处：《华西医学》2016年第11期1826-1828,共3页West China Medical Journal

摘　　要：目的比较超声刀及高频电刀在子宫颈癌手术中使用的优缺点。方法将2011年1月-2015年11月收治的126例子宫颈癌Ⅰ期患者随机分为超声刀组和高频电刀组,每组各63例。对两组患者在手术时间、术中出血量、淋巴结检出数量、手术费用等方面进行比较。结果 126例患者均顺利完成手术。手术时间:超声刀组(202.06±11.67)min,高频电刀组(223.48±18.01)min,差异有统计学意义(P<0.001);术中出血量:超声刀组(373.97±27.95)m L,高频电刀组(458.16±33.18)m L,差异有统计学意义(P<0.001);手术费用:超声刀组(4 171.43±276.46)元,高频电刀组(3 101.54±258.59)元,差异有统计学意义(P<0.001);淋巴结检出数量:超声刀组(10.38±2.43)枚,高频电刀组(9.76±2.61)枚,差异无统计学意义(P=0.172)。结论在子宫颈癌手术中运用超声刀能有效缩短手术时间,减少手术出血量,但不能显著增加淋巴结检出数量,而且明显增加了手术费用,给患者增加了经济负担。Objective To compare the advantages and drawbacks of harmonic scalpel （HS） versus conventional electro-scalpel （ES） in the surgery for carcinoma of uterine cervix. MethodsA total of 126 patients with stage Ⅰ uterine cervix carcinoma who underwent surgery between January 2011 and November 2015 were randomly and averagely divided into HS group and ES group with 63 patients in each. The operation time, intra-operative bleeding volume, the number of lymph nodes detected and operation cost were compared between the two groups of patients. ResultsAll the patients underwent surgery successfully. There were significant differences between the HS and ES groups in terms of operation time[（202.06±11.67） minutes vs.（223.48±18.01） minutes, P〈0.001], intra-operative bleeding[（373.97±27.95） mL vs.（458.16±33.18） mL, P〈0.001], operation cost[（4 171.43±276.46） yuan vs.（3 101.54±258.59） yuan, P〈0.001]. There was no significant difference between the two groups in terms of the number of lymph nodes detected （10.38±2.43 vs.9.76±2.61, P=0.172）. ConclusionThe use of harmonic scalpel can reduce operation time and intra-operative bleeding volume effectively, but it cannot increase the number of lymph nodes detected. Moreover, it significantly increases the operation cost and economic burden for the patients.

关 键 词：子宫颈癌 超声刀 高频电刀 

分 类 号：R737.33[医药卫生—肿瘤]