3D腹腔镜与2D腹腔镜宫颈癌根治术的比较研究

发布时间：2018-01-17 12:59

本文关键词：3D腹腔镜与2D腹腔镜宫颈癌根治术的比较研究　出处：《中国微创外科杂志》2016年06期 　论文类型：期刊论文

更多相关文章： D腹腔镜 D腹腔镜 宫颈癌 临床评价

【摘要】：目的比较3D腹腔镜与传统2D腹腔镜宫颈癌根治术的手术结果和临床评价,以期为临床决策提供医学证据。方法 2013年8月~2014年10月,我院采用3D高清腹腔镜(3D组,18例)或2D高清腹腔镜(2D组,20例)对早期宫颈癌(Ⅰ~ⅡA期)行广泛性子宫切除+盆腔淋巴结清扫术,回顾性对比2组手术时间、术中失血量、住院费用。术后术者和助手完成对3D腹腔镜设备临床评价的问卷调查。结果所有手术均在腹腔镜下顺利完成,无中转开腹。术中出血量3D组明显低于2D组[(73.9±47.5)ml vs.(134.5±69.8)ml,t=-3.094,P=0.004]。2组手术时间、盆腔淋巴结切除数、手术并发症、术后排气时间、术后腹腔引流量、术后住院时间、住院总费用差异无显著性(P0.05)。术者评价3D腹腔镜可提供三维立体手术视野和精确的空间立体定位,使解剖层次清晰,利于精细解剖分离和体内缝合。结论 3D高清腹腔镜拥有传统2D腹腔镜系统所不具有的深度知觉和空间定位感,给术者提供更优越的高清立体视野及更确切的手术操作环境,减少术中出血量,不增加手术时间、手术并发症及额外的手术费用,是安全、有效、舒适的。
[Abstract]:Objective to compare the surgical results and clinical evaluation of 3D and traditional 2D laparoscopic laparoscopic radical resection of cervical cancer, in order to provide medical evidence for clinical decision. In August 2013 ~2014 October in our hospital with 3D HD laparoscopy (group 3D, 18 cases) or 2D HD laparoscopic (20 cases of 2D group, the early cervical cancer (I) stage A ~ II) underwent radical hysterectomy and pelvic lymph node dissection were retrospectively compared 2 groups of operation time, blood loss, intraoperative hospitalization expenses. Questionnaire survey on clinical evaluation of laparoscopic 3D patients completed equipment and assistant after operation. Results all the operations were successfully completed in abdominal laparoscopic, without laparotomy. The volume of intraoperative bleeding in 3D group was significantly lower than that in group 2D [(73.9 + 47.5) ml vs. (134.5 + 69.8) ml, t=-3.094, P=0.004].2 group, operation time, number of lymph nodes, postoperative complications, postoperative exhaust time, postoperative drainage volume, postoperative hospitalization time and total hospitalization Had no significant difference (P0.05). Patients can provide laparoscopic evaluation of 3D stereotactic three-dimensional surgical field and precise space, make clear anatomic structure to fine dissected and sewed. Depth perception and spatial positioning with the traditional 2D conclusion 3D HD laparoscopic laparoscopic system does not have the sense to patients with HD stereoscopic vision superior and more precise operation environment, reduce the amount of bleeding, does not increase the operation time, operation cost, additional surgical complications and is safe, effective and comfortable.

【作者单位】：新疆医科大学第一附属医院妇科;新疆医科大学第一附属医院麻醉科;
【基金】：国家自然科学基金(No.8110278) 重大疾病医学重点实验室开放课题(SKLIB-XJMDR-2012-5)
【分类号】：R737.33
【正文快照】： 传统腹腔镜技术只能提供二维平面图像,而3D腹腔镜的出现带给术者真实的三维立体手术视野和精确的空间立体定位,从而提高腹腔镜手术精确性与安全性。3D高清腹腔镜的出现是腔镜外科的一1麻醉科个飞越,它给腹腔镜外科带来了一个新的突破[1]。1993年由德国的Wenzl等[2]进行了第一

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