Ligasure联合单极电凝钩行腹腔镜下全子宫切除术37例临床分析

Clinical Analysis of 37 Cases Treated by Ligasure and Electrocautery in Laparoscopic Hysterectomy/MI Jian-feng.//Medical Innovation

目的:探讨Ligasure联合单极电凝钩行腹腔镜下全子宫切除术的临床应用价值。方法:将Ligasure联合单极电凝钩行腹腔镜下全子宫切除术患者37例与同期开腹全子宫切除术患者37例的临床资料进行比较,观察术中出血量、手术时间、排气时间、术后发热、切口感染、术后出院时间等情况。结果:腹腔镜组在术中出血量、手术时间、排气时间、术后发热、切口感染、术后出院时间均比开腹组显著减少,差异有统计学意义(P<0.05)。结论:Ligasure联合单极电凝钩可顺利完成腹腔镜下全子宫切除术,较常规开腹手术出血量少,手术时间短,术后胃肠功能恢复快,术后发热患者少,切口感染率低,住院时间短,值得临床应用。

Objective： To explore the clinical application value of Ligasure combined with eleetrocautery in laparoseopic hysterectomy. Method： The clinical data of the Ligasure combined with electrocautery in laparoscopic hysterectomy were compared with 37 cases of patients with total abdominal hysterectomy.Intraoperative bleeding volume, operation time, exhaust time, postoperative fever, infection of incision, postoperative time etc were observed. Result： The laparoscopic group was decreased significantly than the open group in the bleeding volume, operation time, exhaust time, postoperative fever, infection of incision, postoperative discharge time etc. （ P〈0.05 ） .Conclusion： Ligasure combined with monopolar electrocoagulation hook can be successfully completed laparoscopic hysterectomy. Compared with conventional open operation, Laparoscopic group is less bleeding than the control group in the operation. Laparoscopic group short the operation time and postoperative gastrointestinal function recovery time. It has less postoperative fever patients, low infection rate and short hospitalization time.So it is worthy of clinical application.