结扎速血管闭合系统在经阴道子宫切除术中的应用

目的探讨结扎速(LigaSure)在经阴道子宫切除术中的应用。方法应用LigaSure对161例患者实施经阴道子宫切除术，部分患者同时切除一侧或双侧附件，同期对比传统缝线组62例。观察手术时间、术中出血量、术后恢复情况。结果LigaSure组平均手术时间43．16min；平均术中出血量52．35ml；术后平均发热时间1．3天；术后平均排气时间19．46h；术后平均住院天数5．1天；均明显优于传统缝线组。无术中副损伤及术后并发症。结论LigaSure具有操作简便、安全可靠、省时省力等优越性，在妇科手术中具有广泛的应用价值，尤其适合于经阴道困难大子宫及附件切除等深部手术的临床应用。

Effectiveness of the LigaSure vessel sealing system in transvaginal hysterectomy

Objective To evaluate the usefulness of the LigaSure vessel sealing system for vascular control during transvaginal hysterectomy and compared it with suture group. Methods One hundred and sixty-one transvaginal hysterectomy were performed with LigaSure while 62 with traditional suture from Sept 2002 to Mar 2003. Meanwhile, the operating time, the estimated blood loss, the postoperative recovery and hospital stay were explored. Results All of the surgery were successfully performed with both LigaSure and traditional suture. Compared with suture group the LigaSure has many advantages in operating time, estimated blood loss and postoperative recovery. Conclusion For transvaginal hysterectomy LigaSure vessel sealing system is a more useful instrument and also an ideal option. It may be used safely in large, difficult uterus during transvaginal hysterectomy with less blood lose, short operating time, quick recovery after surgery.