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腹腔镜子宫次全切除术中超声刀的应用
引用本文:张巧玉,梁志清,秦荣,常青. 腹腔镜子宫次全切除术中超声刀的应用[J]. 中国实用妇科与产科杂志, 2003, 19(11): 677-678
作者姓名:张巧玉  梁志清  秦荣  常青
作者单位:1. 第三军医大学西南医院妇产科,重庆,400038
2. 第三军医大学新桥医院普外科
摘    要:目的 探讨超声刀在腹腔镜子宫次全切除术中的应用价值。方法  2 0 0 2年 1~ 12月在腹腔镜下分别应用超声刀和双极电凝及剪刀进行子宫次全切除术 ,比较术中出血量、手术时间、术后平均住院日及肛门排气时间。结果 超声刀组的平均手术时间、术中平均出血量显著少于双极电凝组 (P <0 0 1) ,术后平均住院日及肛门排气时间在两组间差异无显著性 (P >0 0 5 )。结论 超声刀可应用于妇科腹腔镜子宫次全切除术 ,由于其操作简单、安全可靠 ,值得推广。

关 键 词:腹腔镜 子宫次全切除术 超声刀 妇科手术
文章编号:1005-2216(2003)11-0677-02

Role of ultrasonic scalpel in subtotal hysterectomy
Zhang Qiaoyu,Liang Zhiqing,Qin Rong,et al.. Role of ultrasonic scalpel in subtotal hysterectomy[J]. Chinese Journal of Practical Gynecology and Obstetrics, 2003, 19(11): 677-678
Authors:Zhang Qiaoyu  Liang Zhiqing  Qin Rong  et al.
Affiliation:Zhang Qiaoyu,Liang Zhiqing,Qin Rong,et al.Department of Obstetrics and Gynecology,Southwest Hospital,the Third Military Medical University,Chongqing 400038,China
Abstract:Objective To investigate the value of ultrasonic scalpel in laparoscopic operation of subtotal hysterectomy.Methods From January to December 2002,72 patients underwent subtotal hysterectomy with 36 by ultrasonic scalpel and 36 by dipolar coagulation.The bleeding volume,operation time,intraopertive and postoperative complication were compared between ultrasonic scalpel and dipolar coagulation groups.Results With the help of ultrasonic scalpel,the operation time and bleeding volume were significantly shorter and less than that of the dipolar group(P<0^01);and there was no significant difference between the two groups in postoperational hospital stay.Conclusion Ultrasonic scalpel is simple and safe for laparoscopic subtotal hysterectomy.
Keywords:Ultrasonic scalpel Laparoscope Subtotal hysterectomy
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