超声刀止血和双极电凝止血在肝细胞癌患者肝切除术中行肝创面局部止血的效果对比  

Comparison of the effects of ultrasonic knife and bipolar electrocoagulation in hepatic wound hemostasis during hepatectomy in patients with hepatocellular carcinoma

作　　者：陈智敏[1] 游红勇[1] 莫玲斐 黎鹏武 李海[1] 汪昱[1] 董科[2] Chen Zhimin;You Hongyong;Mo Lingfei;Li Pengwu;Li Hai;Wang Yu;Dong Ke(Department of Hepatobiliary Surgery,Chongzhou People’s Hospital,Chongzhou 611230,Sichuan,China;Department of Hepatobiliary Surgery,Sichuan Provincial People’s Hospital,Chengdu 610000,Sichuan,China)

机构地区：[1]四川省崇州市人民医院肝胆外科,四川崇州611230 [2]四川省人民医院肝胆外科,四川成都610000

出　　处：《右江民族医学院学报》2022年第4期545-549,共5页Journal of Youjiang Medical University for Nationalities

基　　金：成都市卫生健康委员会2020年成都市医学科研立项项目(2020153)。

摘　　要：目的探讨运用超声刀止血和双极电凝止血法在肝细胞癌患者肝切除术中的应用效果。方法选择142例肝癌切除术患者作为研究对象,根据术中行不同止血方式将患者分为研究组(71例)和对照组(71例),研究组采用双极电凝止血术治疗,对照组采用超声刀止血治疗,比较两组患者相关的临床指标和相关手术情况。结果两组患者分别采用不同断肝止血技术后,研究组患者的手术时间、手术相关费用、术后腹腔引流量、输血率和术中出血量均低于对照组,差异均有统计学意义(P<0.05)。研究组患者术后并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论双极电凝止血效果明显优于超声刀止血,其可以有效减少患者术中出血,而且术后并发症发生率较低,有利于患者术后的康复。Objective To explore the effects of ultrasonic knife hemostasis and bipolar electrocoagulation hemostasis in hepatectomy for patients with hepatocellular carcinoma.Methods A total of 142 patients who underwent hepatocellular carcinoma resection were selected as the study subjects,and they were divided into a study group(n=71)and a control group(n=71)according to different hemostatic methods during operation.The study group was treated with bipolar electrocoagulation hemostasis,and the control group was treated with ultrasound knife hemostasis.The clinical indicators and surgical conditions were compared between two groups.Results After the two groups were treated with different methods of hepatic hemostasis,it was found that the operative duration,operative costs,postoperative abdominal drainage,blood transfusion rate and intraoperative blood loss of patients in the study group were lower than those in the control group,with significant differences(P<0.05).The total incidence of postoperative complications in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Bipolar electrocoagulation hemostasis has significantly better effect than ultrasonic knife hemostasis.It can effectively reduce intraoperative bleeding of patients,with low incidence of postoperative complications and is also conducive to postoperative rehabilitation for patients.

关 键 词：肝肿瘤 止血效果 双极电凝止血 超声刀止血 

分 类 号：R735.7[医药卫生—肿瘤] R657.3[医药卫生—临床医学]