腹腔镜子宫全切除术中两种子宫动静脉处理分析

目的 比较腹腔镜下全子宫切除术中用双极电凝和血管闭合系统(Ligasure)处理子宫动静脉的临床效果.方法 回顾性分析184例腹腔镜下全子宫切除术中子宫动静脉采用双极电凝、Ligasure于子宫峡部游离、钳断子宫动静脉的不同处理方法对手术时间、术中出血量、肛门排气时间、留置尿管时间及术后并发症进行比较.结果 双极电凝组与Ligasure组患者的肛门排气时间、留置尿管时间及住院天数差异无统计学惫义(P＞0.05);但用Ligasure切断子宫血管较双极电凝的手术时间显著缩短(P＜0.01),出血量明显减少(P＜0.01),无术中术后并发症.双极电凝组输尿管损伤1例.结论 腹腔镜下子宫全切术应用Ligasure有需要的器械简单、缩短手术时间、止血效果更佳等优点,具有安全、可靠、操作简便、术野清晰等特点.

Comparative analysis of ligasure vessel sealing system and bipolar electric coagulation in the laparoscopic hysterectomy

Objective To investigate the clinical value of different treatments of uterine artery and vein in laparoscopic hysterectomy. Methods In 184 patients accepting lapaxoscopie hysterectomy, ligasttre vessel sealing system ,was applied to uterine vessels, while bipolar electric coagulation to coagulate the uterine vessels during the operation. Results Among the groups, women undergoing ligasure hand the smaller amount of estimated blood loss and was associated with shorter operating time, there were statistically significant differences among the two groups( P＜0.01). Conclusion Each of the two operative ways is feasible or laparoacopic hysterectomy. The way of dissociating uteri arteriovenous completely before they were cut off with ligasure in laparoscopic panhysterectomy has many important clinical value such as easy appliance, safety, convenient operation, clear operation field and so on.