高频电刀和超声刀在腹腔镜下宫颈癌手术中的应用价值研究  

Comparison of laparoscopic high-frequency electrotome and ultrasonic scalpel in cervical cancer surgey

作　　者：张海波[1] 赵喜娃[1] 赵玮[1] 康山 

机构地区：[1]河北医科大学第四医院妇科,河北石家庄050011

出　　处：《中国实用妇科与产科杂志》2017年第4期390-394,共5页Chinese Journal of Practical Gynecology and Obstetrics

摘　　要：目的探讨高频电刀在腹腔镜下宫颈癌手术中的应用价值。方法河北医科大学第四医院妇科于2006年11月至2015年8月应用高频电刀和超声刀行腹腔镜下根治性子宫切除+盆腔淋巴结切除及(或)腹主动脉旁淋巴结切除共530例,对比分析两组各项手术指标以及并发症之间的差异。结果两种手术器械均能顺利完成手术,两组术中淋巴结切除时间、淋巴结切除个数、根治性子宫切除时间、术中出血量、术后肛门排气时间、住院天数、术后拔除尿管时间、术后拔除引流管时间等差异均无统计学意义(P>0.05)。两组血管损伤、输尿管损伤、膀胱损伤、肠道损伤、术后肠梗阻、淋巴囊肿等并发症比较差异均无统计学意义(P>0.05)。结论应用高频电刀行腹腔镜下根治性子宫切除+盆腔淋巴结切除及(或)腹主动脉旁淋巴结切除能达到同超声刀相同的手术效果,具有一定临床应用价值。Objective To evaluate the clinical value of laparoscopic high-frequency electrotome in cervical cancer surgery. Methods From November 2006 to August 2015,530 patients underwent laparoscopic pelvic and/or abdominal periaortic lymph node dissection and radical hysterectomy using laparoscopic high-frequency electrotome in the Department of Gynecology, the Fourth Hospital of Hebei Medical University. Compare and analyse the difference of operation indicators and complications between the two groups. Results The two surgery can be successfully completed by using the two instruments. The operating time for the lymph node dissection, the number of lymph node dissected, the time of radical hysterectomy, intraoperative blood loss, the time of exhaust, the length of postoperative hospitalization, the stay time of postoperative catheter, the time of postoperative drainage tube and complications between the two groups were of no significant difference （P〉0.05）. Conclusion High-frequency electrotome can achieve the same operation effect with ultrasonic scalpel in laparoscopic pelvic and/or abdominal periaortic lymph node dissection and radical hysterectomy, which may have certain clinical application value.

关 键 词：腹腔镜 盆腔淋巴结 腹主动脉旁淋巴结 根治性子宫切除 超声刀 高频电刀 

分 类 号：R737.3[医药卫生—肿瘤]