超声刀与高频电刀在腹腔镜胆囊切除术中应用的临床分析

目的对比分析超声刀与高频电刀在腹腔镜胆囊切除术中的临床应用。方法对146例胆囊结石行腹腔镜胆囊切除术的患者进行随机分组,对比分析超声刀与高频电刀在腹腔镜胆囊切除术中的临床应用优缺点。结果使用超声刀组平均手术时间为（30±7）min,术中平均出血（7.8±2.4）ml,中转开腹1例,无术后出血及胆漏;使用高频电刀组平均手术时间（40±11）min,平均术中出血（12.3±5.1）ml,无中转开腹、术后出血及胆漏。结论在腹腔镜胆囊切除术中使用超声刀较高频电刀相对安全,但费用及成本较高,若二者结合应用,有一定的临床应用意义。

Clinical analysis of ultrasonic scalpel and high-frequency electric scalpelapplied in the laparoscopic cholecystectomy

Objective Comparative analysis of ultrasonic scalpel with high-frequency electric scalpel in laparoscopic cholecystectomy in the clinical application.Methods 146 cases of gallbladder stones were divided randomly into two groupsand operated laparoscopic cholecystectomy byultrasonic scalpel and high-frequency electric scalperespectively.Comparative analysis of advantages and disadvantages of ultrasonic scalpel with high-frequency electric scalpel in laparoscopic cholecystectomy in the clinical application.Results Average operating time was（30±7）minin group using the ultrasonic scalpel,average hemorrhage was（7.8±2.4）ml,only 1 case was conversion to laparotomy,no postoperative bleeding and biliary fistulaarised;using high-frequency electric scalpel group,average operating time was（40±11）min,average hemorrhage was（12.3±5.1）ml,no conversion to laparotomy,postoperative bleeding and biliary fistulaarised.Conclusion Comparing with high-frequency electric scalpel,ultrasonic scalpelwas relative more safer in laparoscopic cholecystectomyin clinical application.Higher fees and cost was its disadvantages.Combined application of ultrasonic scalpel and high-frequency electric scalpein laparoscopic cholecystectomy maybe an ideal choice in basic level hospital.