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新型超声刀在腹部开放手术中的应用体会
引用本文:陈钟,常仁安,唐伟东. 新型超声刀在腹部开放手术中的应用体会[J]. 中国现代手术学杂志, 2009, 13(4)
作者姓名:陈钟  常仁安  唐伟东
作者单位:南通大学附属医院普外科,南通,226001
摘    要:
目的探讨在腹部开放手术中使用新型超声刀分离切断组织的技术及效果。方法回顾性总结应用新型超声刀完成腹部开放手术的45例病例,包括胃癌根治术21例、结直肠癌根治术10例、肝癌切除术4例、脾切除及门奇静脉断流术8例、脾切除、门奇静脉断流加门体分流术1例,胰岛细胞瘤切除1例。与同期使用电刀的类似手术62例进行病例对照研究。结果使用新型超声刀进行腹部开放手术所用手术时间、术中出血量及术后24 h腹腔引流量均少于常规电刀手术病例(P<0.05)。结论新型超声刀技术是极具前景的外科新技术,在腹部开放手术中使用其进行分离切断组织安全、有效,能缩短手术时间,减少创伤,促进恢复。

关 键 词:超声刀  腹部手术

The Application Experiences of the Novel Ultrasonic Scalpel in the Open Abdominal Operations
CHEN Zhong,CHANG Ren-an,TANG Wei-dong. The Application Experiences of the Novel Ultrasonic Scalpel in the Open Abdominal Operations[J]. Chinese Journal of Modern Operative Surgery, 2009, 13(4)
Authors:CHEN Zhong  CHANG Ren-an  TANG Wei-dong
Affiliation:CHEN Zhong; CHANG Ren-an; TANG Wei-dong(Department of General Surgery; Affliated Hospital of Nantong University; Nantong 226001; Jiangsu; China);
Abstract:
Objective To investigate the technique and effect of using a novel ultrasonic scalpel to dissect and cut tissue in open abdominal operations. Methods 45 cases of open abdominal operations was performed using the novel ultrasonic scalpel,including 21 cases of radical operations for the gastric cancer,10 cases of radical operations for colorectal cancer,4 cases of hepatectomy for hepatic carcinoma,8 cases of splenectomy and portal-azygos disconnection,1 case of splenectomy,portal-azygos disconnection,and port...
Keywords:ultrasonic scalpel  abdominal surgery
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