高频单级电刀在二次剖宫产术中的应用体会  

Application Experience of High-frequency Single-stage Electroscalpel in the Second Cesarean Section

作　　者：黄惠芳[1] 

机构地区：[1]南宁市第二人民医院产科,广西南宁530031

出　　处：《中外医疗》2017年第15期78-80,共3页China & Foreign Medical Treatment

摘　　要：目的探讨二次剖宫产术中使用高频单级电刀对手术结局的影响。方法整群选择2006年4月—2016年9月在南宁市第二人民医院产科病房住院行二次剖宫产终止妊娠的产妇623例,并随机分成两组:研究组342例,在二次剖宫产术中使用高频单级电刀;对照组281例,在二次剖宫产术中使用常规手术刀。比较两组二次剖宫产术中及术后伤口愈合情况等相关资料。结果研究组腹壁切开时间(13.42±0.63)min较对照组缩短(17.47±0.84)min,结果差异有统计学意义(P<0.05);研究组腹壁切口出血量(43.42±2.25)mL少于对照组(77.68±2.29)mL,结果差异有统计学意义(P<0.05);研究组愈合天数(5.35±0.01)d明显短于对照组(7.21±4.42)d,结果差异有统计学意义(P<0.05)。结论二次剖宫产术中使用高频单级电刀明显缩短腹壁切开时间,减少腹壁切口出血量,明显缩短产妇术后切口愈合时间。Objective To discuss the effect of high-frequency single-stage electroscalpel on the operative outcome of the second cesarean section. Methods 623 cases of patients with second cesarean section in our hospital from April 2006 to September 2016 were group selected and randomly divided into two groups, the research group with 342 cases adopted the high-frequency single-stage electroscalpel, while the control group with 281 cases adopted the routine scalpel, and the wound healing situation in operation and after operation were compared between the two groups. Results The napes incision time in the research group was shortened than that in the control group [（13.42±0.63）min vs（17.47±0.84）min], and the difference was statistically significant（P〈0.05）, and the napes incision bleeding amount in the research group was less than that in the control group[（43.42±2.25）m L vs（77.68±2.29）m L], and the difference was statistically significant（P〈0.05）, and the healing time in the research group was obviously shorter than that in the control group[（5.35±0.01）d vs（7.21±4.42）d],and the difference was statistically significant（P〈0.05）. Conclusion The application of high-frequency single-stage electroscalpel in the second cesarean section can shorten the napes incision time, reduce the napes incision bleeding amount and obviously shorten the incision healing time of delivery women after operation.

关 键 词：高频单级电刀 二次剖宫产 应用 

分 类 号：R61[医药卫生—外科学]