双极电凝腹腔镜下全子宫切除术78例的临床疗效

Effect on 78 cases of laparoscopic total hysterectomy with bipolar electrocoagulation

目的分析双极电凝腹腔镜下全子宫切除术的应用价值。方法将2015年2月至2017年2月于我院行全子宫切除术的150例患者随机分为对照组和观察组,对照组72例用单极电凝腹腔镜治疗,观察组78例用双极电凝腹腔镜治疗,比较两组术中、术后恢复情况及术后并发症发生情况。结果观察组患者手术时间、术中出血量、术后抗生素应用时间、排气时间及住院时间均明显优于对照组(P<0.05)。观察组、对照组术后并发症发生率分别为2.56%、1.39%,差异不显著(P>0.05)。结论在腹腔镜下全子宫切除术中,在准确把握操作技巧前提下,应用双极电凝治疗造成的创伤小,患者术后恢复速度更快,且操作简便,值得在临床中推广。

Objective To analyze the application value of laparoscopic total hysterectomy with bipolar electrocoagulation.Methods One hundred and fifty patients with total hysterectomy admitted in our hospital from February 2015 to February2017 were randomly divided into control group and observation group, 72 cases in the control group were treated with unipolar electrocoagulation, and 78 cases in the observation group were treated with bipolar electrocoagulation. The intraoperative and postoperative recovery, postoperative complications were compared between the two groups. Results The operative time, intraoperative blood loss, postoperative antibiotic application time, exhaust time and hospitalization time in the observation group were significantly better than those in the control group（P 〈0.05）. The incidences of postoperative complications in the observation group and the control group were 2.56% and 1.39% respectively, and there was no significant difference between the two groups（P〉0.05）. Conclusion In laparoscopic total hysterectomy, under the premise of accurate grasp of operation skills, the bipolar electrocoagulation treatment has little trauma, the postoperative recovery is faster, and is easy to operate. It is worthy of promotion in clinic.