超声刀在开腹结直肠癌根治手术的临床应用价值

Clinical value of ultrasonic scalpel in radical resection of colorectal cancer

目的:探讨超声刀在开腹结直肠癌根治手术的临床应用价值。方法:选取进行开腹结直肠癌根治手术患者74例进行临床研究,其中38例使用强生超声刀和电刀手术作为观察组,另36例使用电刀手术作为对照组。观察两组患者术中游离时间、术中出血量、平均住院时间、清扫淋巴结数量以及术后并发症发生情况。结果:两组病例手术均获得成功,观察组手术时间、术中出血量、平均住院时间、术后平均引流量均明显少于对照组,且具有统计学差异(P<0.05),但两组并发症、淋巴结清扫数量比较,差异无统计学意义(P>0.05)。结论:超声刀在结直肠癌手术中具有重要的临床应用价值,结合超声刀使用显示其具有安全、准确和低损伤的特点,使解剖更加精细安全,且明显缩短手术时间,减少术中出血量,减轻手术创伤,减少住院时间。

Objective To investigate the clinical value of ultrasonic scalpel in radical resection of colorectal cancer. Method74 cases of clinical study of radical surgery for colorectal carcinoma in our hospital were selected,including 38 cases of the use of Johnson ultrasound knife and surgery as the observation group,another 36 cases using electric knife surgery as the control group. The free time,intraoperative blood loss,average length of stay,number of lymph nodes and postoperative complications were observed in the two groups. Results Two cases were performed successfully. The operation time of the observation group,intraoperative bleeding volume,average hospitalization time,average postoperative drainage were significantly less than the control group,and the difference was statistically significant（ P〈0. 05）,but the lymph node dissection,the number of complications of the two groups had no significant difference（ P〉0. 05）. Conclusion Ultrasound has important clinical value in colorectal surgery,combined with ultrasonic knife using display because of its safety,accuracy and low damage characteristics,the more precise anatomical safety,and shorten the operation time,reduce intraoperative hemorrhage,lessen surgical trauma and reduce hospitalization time.