PK等离子刀在阴式非脱垂子宫切除术中的应用

目的:探讨PK等离子刀在阴式非脱垂子宫切除术中的应用效果。方法:借助PK等离子刀行阴式非脱垂子宫切除术(PK组)98例,与由同一医疗组完成的传统阴式非脱垂子宫全切术(传统组)78例作为对照,比较PK等离子刀微创效果。结果:PK组手术时间(38.59±8.87) min,术中出血量(40.12±17.19) ml,术后病率6例(5.81%),阴道残端肉芽形成1例(1.02%),均少于传统组(70.30±12.50) min、(123.50±38.12) ml、12例(14.81%)和10例(12.80%)(P<0.05~P<0.01)。术后肠蠕动恢复时间(18.05±5.65) h,平均住院(5.72±1.42)天,均较传统组(22.45±7.43) h、(6.36±0.71)天短(P<0.01)。结论:PK等离子刀在阴式非脱垂子宫切除术中,简化了操作步骤,安全,有效,达到了微创目的,对妇科阴式手术技术的临床推广有很大的促进作用。

The application of plasmakinetic tissue management system in vaginal hysterectomy

Objective：To evaluate the clinical application of plasmakinetic tissue management system（PK） in vaginal hysterectomy.Methods：The PK was used in vaginal hysterectomy in 98 patients（PK group）in our hospital.Another 78 patients which undergone the same operation with the traditional technique were belonged to traditional group.The minimally invasive effect was explored between these two groups.Results：In the PK group,the operation time was（38.59±8.87） min,the intraoperative blood loss was（40.12±17.19）ml;the postoperative pyrexia was 6 cases（5.81%）and granulation generation at the vaginal stump was 1 case（1.02%）,which were significantly less than those in the traditional group（70.30±12.50）min,（123.50±38.12）ml,12 cases（14.81%）and 10 cases（12.80%）respectively（P0.05 to P0.01）.The recovery of bowel movement was（18.05±5.65）h,the mean postoperative hospitalization was（5.72±1.42）d,which were shorten than those in the traditional group（22.45±7.43）h and（6.36±0.71）d,respectively（P0.01）.Conclusions：The PK simplified the procedure in vaginal hysterectomy,and it is a safe,effective and minimally invasive operation.It plays a great role to promote the vaginal gynecologic surgery in clinic.