免结扎技术在宫颈癌手术治疗中的应用研究

发布时间：2018-04-07 16:47

  本文选题：Ligasure血管闭合系统　切入点：宫颈癌　出处：《广西医科大学》2014年硕士论文

【摘要】：目的：探讨免结扎技术在宫颈癌手术治疗中的应用价值。 方法：采用前瞻性随机对照研究,通过设定入选标准与排除标准,筛选自：2011年10月至2013年12月期间,因宫颈癌在广西壮族自治区人民医院妇科住院,需行经腹广泛性全子宫切除术+盆腔淋巴结清扫术的病例共105例,随机分为2组,其中53例术中应用Li gasure血管闭合系统,作为实验组；52例术中使用传统缝扎技术,作为对照组；所有两组筛选出的患者术前均已确诊宫颈癌并明确分期,未合并严重内、外科疾病,未行术前放、化疗等。收集记录两组所有患者的手术时间、术中出血量及住院时间等等术前术后情况,通过对比应用Li gasure血管闭合系统的经腹广泛性全子宫切除术+盆腔淋巴结清扫术与对照组行此术式的以上指标进行分析比较。 结果：(1)手术时间：对照组完成手术时间为160～295min(207.15±35.66min),实验组完成手术时间为122～278min(162.92±35.61min),对照组手术时间明显长于实验组(p0.05)；(1)术中出血量：对照组手术过程中的出血量为300～1800ml(720.19±352.90m1),实验组手术过程中的出血量为120～1500ml(591.51±286.57m1),对照组手术过程中的出血量明显多于实验组(p0.05)；(3)住院时间：对照组住院时间为10-34天(16.85±5.73天),实验组住院时间为9-28天(15.20±4.05天),实验组与对照组住院时间比较,差异无显著性(p=0.09)。 结论：免结扎技术(Ligasure血管闭合系统)应用在宫颈癌手术中,能明显减少手术时间及术中出血量,但对患者住院时间的影响尚需进一步对照研究。Ligasure血管闭合系统具有止血可靠、热传导小、体内无异物存留等特点,因其可容易快捷控制出血,避免了繁琐的结扎和止血从而明显缩短手术时间及减少术中出血量,可以在妇科其他肿瘤手术中推广应用。
[Abstract]:Objective : To evaluate the value of ligation - free technique in the treatment of cervical cancer .

Methods : From October 2011 to December 2013 , 105 patients were randomly divided into 2 groups . Among them , 53 cases were treated with Li gasure vascular closure system as experimental group .
Conventional suture ligation was used in 52 cases as control group .
All patients were diagnosed with cervical cancer before the procedure , without serious internal and surgical diseases , pre - operative radiotherapy , chemotherapy , etc . The operation time of all patients in the two groups , the amount of bleeding during operation and the time of hospitalization were collected and recorded , and compared with those of the control group , the above indexes were analyzed by comparing the total hysterectomy with the Li gasure vascular closure system plus pelvic lymph node dissection .

Results : ( 1 ) Operative time : The operative time of the control group was 160 锝，

本文编号：1720016