能量器械与传统缝扎技术在经腹宫颈癌手术中的对比分析  

Comparative Analysis of Energy Instruments and Traditional SutureTechnique in Transabdominal Cervical Cancer Surgery

作　　者：旷雨 李文 任黔川 KUANG Yu;LI Wen;REN Qianchuan(Department of Obstetrics and Gynecology,The Affiliated Hospital of Southwest Medical University,Luzhou Sichuan 646000,China)

机构地区：[1]西南医科大学附属医院妇产科,四川泸州646000

出　　处：《中国医疗设备》2019年第3期27-30,共4页China Medical Devices

摘　　要：目的探讨能量器械超声刀、LigaSure血管闭合系统、百克钳与传统缝扎术在经腹宫颈癌手术中的治疗效果。方法选取我院自2012年12月至2017年12月行腹式宫颈癌手术治疗的患者共209例,分为超声刀组(61例)、LigaSure血管闭合系统组(49例)、百克钳组(45例)、传统缝扎组(54例),比较分析各组相关指标。结果能量器械组的平均手术时间、切除淋巴结数目、术中出血量均优于传统缝扎组,差异有统计学意义(P<0.05);各组术后住院时间、肛门排气时间、拔出引流管时间差异无统计学意义(P>0.05)。结论早期宫颈癌患者在行经腹宫颈癌手术中应用能量器械可提高手术的安全性和有效性,具有较高的临床应用价值。Objective To investigate the therapeutic effect of energy instruments (ultrasonic scalpel, LigaSure vascular closure system, BiClamp) and traditional suture technique in transabdominal cervical cancer resection. Methods A total of 209 patients with transabdominal cervical cancer surgery from December 2012 to December 2017 in our hospital were selected, which were divided into ultrasonic scalpel group (61 cases), LigaSure group (49 cases), BiClamp group (45 cases), and traditional suture group (54 cases). The relevant indicators of each group were compared and analyzed. Results The average operation time, number of resected lymph nodes, and intraoperative blood loss in the energy instrument groups were all better than those in the traditional suture group (P<0.05). There was no significant difference in the postoperative hospitalization time, anal exhaust time, and the drainage tube extraction time of each group (P>0.05). Conclusion The application of energy instruments in transabdominal cervical cancer surgery for patients with early cervical cancer can improve the safety and effectiveness of the surgery, and has a high clinical application value.

关 键 词：能量器械 超声刀 LIGASURE 百克钳 传统缝扎术 宫颈癌 

分 类 号：R608[医药卫生—外科学] R737.33[医药卫生—临床医学]