超声刀在腹腔镜肠粘连松解术中的应用

目的 探讨超声刀在腹腔镜肠粘连松解手术中的应用。方法 应用超声刀行腹腔镜肠粘连松解术治疗粘连性肠梗阻29例。结果 29例均顺利完成手术，无中转开腹。2例因肠管间广泛致密粘连而致分离中肠管破裂，但均在腹腔镜下修补成功。手术时间30～150min。术后无肠漏、出血或腹腔感染等并发症。术后3～7d出院，随访1～24个月，未见有腹痛、腹胀等复发症状。结论 与电刀相比，超声刀的应用使腹腔镜肠粘连松解手术安全性更高，创伤更小，手术时间更短．而且使术后肠粘连肠梗阻复发的机会更少。

Application of Ultrasonically Activated Scalpel in Laparoscopic Intestinal Adhesion Release

Objective To study the application of ultrasonically activated scalpel in laparoscopic intestinal adhesion release.Methods Intestinal adhesion release with ultrasonically activated scalpel under laparoscope was performed in 29 patients suffered from intestinal adhesive obstruction after gynecological operation. Results All operations were successfully performed, and none of them converted into open surgery. Intestinal disruption occurred durring operation in 2 patients with extensive intestinal denseadhesion which were mended successfully under laparoscope. The operative duration was 30-150 min (mean 45 min). Postoperative complications such as bowel leak age, bleeding, abdominal infection were not experienced. Postoperative hospital stay was 3-7 days (mean 4 days). No case had relapse symptom such as abdominal distention or pain after 1-24 months of follow up. Conclusion Compared with electric scalpel, ultrasonically activated scalpel can improve the operative safety, lessen tissue damage, shorten operative time, and reduce the chance of relapse in laparoscopic operation in gynecology.