切口保护套在无气腹腹腔镜手术中的应用研究

Study of the clinical application of Lap-protector of gasless laparoscopy in gynecological operation

目的探讨国产切口保护套在妇科无气腹腹腔镜手术中的临床应用的可行性及安全性。方法分析2006年10月至2009年3月期间无气腹腹腔镜手术中使用国产(36例)与进口切口保护套(48例)的置入与取出的次数、术中出血量、手术时间、并发症等各项指标。结果国产组和进口组患者的切口保护套置入次数比较,差异无统计学意义(P>0.05),均可一次取出。两组均无术中及术后并发症发生。两组子宫肌瘤剔除术的手术时间分别是(103.18±35.24)min和(100.32±35.35)min,术中出血量分别是(80.90±51.26)ml和(87.90±85.20)ml,两组比较,差异均无统计学意义(P>0.05)。两组卵巢囊肿剥除术的手术时间(85.71±27.31)min和(77.35±29.21)min,术中出血量分别是(44.64±40.59)ml和(40.29±23.75)ml,两者比较,差异均无统计学意义(P>0.05)。结论国产切口保护套在妇科无气腹腹腔镜手术中的应用具有可行性,安全性好,价格较低,值得推广。

Objective To evaluate the safety and feasibility of Lap - protector made in China in gynecological gasless laparoscopy. Methods The study protocol was approved by the ethics committee of our hospital and signed by all of the patients. Lap - protectors made in China were used in 36 patients （myomectomy 22 cases, ovarian cys- tectomy 14 cases） and that made in Japan were used in 48 cases （myomectomy 31 cases, ovarian eystectomy 17 ca- ses）. Items including inserting times, intraoperative bleeding, operating time and complication were compared. Re- suits There were no significant differences in inserting times, intraoperative bleeding [ （80. 90± 51.26） ml vs （87.90±85.20） ml] and operating time [ （103.18±35.24） rain vs （100. 32±35.35） min] in the two groups （P〉0.05）. No complication occurred intraoperative or postoperative in both groups. Conclusion It is feasible to use Lap- protector made in China in gynecological gasless laparoscopy being the lower cost and the safety.