摘要
目的探讨只使用双极钳、单极电钩完成腹腔镜全子宫切除术,术中预先用双极钳凝断子宫动脉上行支的临床效果。方法选择2014年1月至2015年1月在中国医科大学附属盛京医院妇科行子宫切除术的60例患者,按照手术操作方法不同分为研究组(n=33)和对照组(n=27)。研究组患者预先用双极钳凝断子宫动脉上行支,再行腹腔镜全子宫切除;对照组患者行常规腹腔镜下全子宫切除术。两组在电外科设备上均只使用双极钳、单极电钩完成手术。比较两组手术效果,主要观察指标为手术时间及出血量。结果研究组患者手术时间(55.4±7.2)min,短于对照组的(63.7±8.6)min,差异有统计学意义(P<0.05);而且,研究组患者术中出血量(23.1±6.9)ml,也少于对照组的(62.8±9.5)ml,差异也有统计学意义(P<0.01)。结论电外科设备只使用双极钳、单极电钩可以完成腹腔镜全子宫切除术,预先用双极钳凝断子宫动脉上行支,可以有效减少手术时间及术中出血量,临床推广应用价值高。
Objective To explore the clinical efficacy of a modified panhysterectomy under laparoscope only using BiClamp and elec-trocantery,contains a pre-treatment of electrocoagulation of the ascending branches of uterine artery. Methods Totally 60 female pa-tients received panhysterectomy in Shengjing Hospital of China Medical University from January 2014 to January 2015 was analyzed in this study. All 60 cases were divided into Experimental group （n=33） and Control group （n=27）, according to different therapies. Patients in the Experimental group was performed the electrocoagulation of the ascending branches of uterine artery primarily, and then received panhysterectomy. While, patients in the Control group received the traditional panhysterectomy under laparoscope. Postopera-tive outcome as operating time and intraoperative blood loss between the two groups was compared. Results Operating time and intra-operative blood loss in the Experimental group were both less than those in the Control group, and the differences were both statistical-ly significant （P〈0. 05）. Conclusion It is feasible to perform panhysterectomy under laparoscope only by using BiClamp and elec-trocantery. Electrocoagulation of the ascending branches of uterine artery before panhysterectomy could effectively reduce the operating time and intraoperative blood loss.
出处
《临床军医杂志》
CAS
2016年第4期347-350,共4页
Clinical Journal of Medical Officers
基金
辽宁省科技厅课题(2012225017)
关键词
腹腔镜
全子宫切除术
双极钳
单极电钩
子宫动脉上行支
Laparoscope
Panhysterectomy
BiClamp
Electrocantery
Ascending branches of uterine artery
