高频电刀和超声刀在腹腔镜下宫颈癌手术中的应用价值研究

发布时间：2018-01-13 20:22

本文关键词：高频电刀和超声刀在腹腔镜下宫颈癌手术中的应用价值研究　出处：《中国实用妇科与产科杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的探讨高频电刀在腹腔镜下宫颈癌手术中的应用价值。方法河北医科大学第四医院妇科于2006年11月至2015年8月应用高频电刀和超声刀行腹腔镜下根治性子宫切除+盆腔淋巴结切除及(或)腹主动脉旁淋巴结切除共530例,对比分析两组各项手术指标以及并发症之间的差异。结果两种手术器械均能顺利完成手术,两组术中淋巴结切除时间、淋巴结切除个数、根治性子宫切除时间、术中出血量、术后肛门排气时间、住院天数、术后拔除尿管时间、术后拔除引流管时间等差异均无统计学意义(P0.05)。两组血管损伤、输尿管损伤、膀胱损伤、肠道损伤、术后肠梗阻、淋巴囊肿等并发症比较差异均无统计学意义(P0.05)。结论应用高频电刀行腹腔镜下根治性子宫切除+盆腔淋巴结切除及(或)腹主动脉旁淋巴结切除能达到同超声刀相同的手术效果,具有一定临床应用价值。
[Abstract]:Objective to evaluate the value of high frequency electric knife in laparoscopic surgery for cervical cancer. Methods from November 2006 to August 2015, gynecology department of 4th Hospital of Hebei Medical University used high frequency electric knife and ultrasonic knife to perform laparoscopy. Lower radical hysterectomy. Pelvic lymphadenectomy and (. Or abdominal para-aortic lymph node resection in 530 cases. Results the two kinds of surgical instruments were able to complete the operation successfully. The time of lymph node resection, the number of lymph node resection, the time of radical hysterectomy in the two groups were compared and analyzed. There were no significant differences in blood loss, postoperative anal exhaust time, hospital stay, time of extubation of urine tube and time of extubation of drainage tube between the two groups (P 0.05). Vascular injury and ureteral injury were found in the two groups. Bladder injury, intestinal injury, postoperative intestinal obstruction. There was no significant difference in lymphocyst complications (P 0.05). Conclusion Laparoscopic radical hysterectomy and / or pelvic lymphadenectomy are performed with high frequency electric knife. Lymph node resection of abdominal aorta can achieve the same effect as ultrasound knife. It has certain clinical application value.
【作者单位】：河北医科大学第四医院妇科;
【分类号】：R737.33
【正文快照】： 近年来,随着医疗技术及腹腔镜设备的发展,随之许多适合镜下切割和止血的手术器械也在不断改进。目前,超声刀在腹腔镜下宫颈癌手术中已得到广泛的应用,并得到业内专家的一致认可。而对于应用最普遍的高频电刀来完成腹腔镜下根治性子宫切除及淋巴结切除,受到不少同行的质疑。基

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