Novel approach to managing two enormous bezoars with successive snare-tip electrocautery: A case report

BACKGROUND Gastric bezoars are indigestible masses that can lead to gastrointestinal ob-struction and ulceration.Standard treatments include endoscopic mechanical lithotripsy with a polypectomy snare and Coca-Cola dissolution therapy or a combination of both approaches.However,giant bezoars frequently require multiple treatment sessions and extended hospital stays.Additionally,snare-based mechanical fragmentation may be limited by factors such as bezoar size,shape,density,slipperiness,and restricted working space.In cases where refra-ctory giant bezoars are unresponsive to traditional methods,surgical intervention is often necessary.CASE SUMMARY A 57-year-old male with a history of type 2 diabetes presented with severe epigastric pain and vomiting.Endoscopy revealed two large phytobezoars and a gastric ulcer.Initial attempts at mechanical fragmentation with a polypectomy snare and Coca-Cola ingestion for dissolution were unsuccessful due to the large size and complex structure of the bezoars.An innovative approach using snare-tip electrocautery was then employed.It successfully penetrated the slippery,hard surface of the bezoars and fragmented them into smaller pieces.The patient was subsequently treated with Coca-Cola ingestion,enzyme supplements,and proton pump inhibitors.He was discharged without complications following the endoscopic sessions.CONCLUSION Snare-tip electrocautery is a safe,cost-effective,and minimally invasive alter-native for managing large,refractory gastric bezoars.This is a valuable option in resource-limited settings.

Ultrasonically activated scalpel versus monopolar electrocautery shovel in laparoscopic total mesorectal excision for rectal cancer

AIM： To investigate the feasibility and safety of monopolar electrocautery shovel （ES） in laparoscopic total mesorectal excision （TME） with anal sphincter preservation for rectal cancer in order to reduce the cost of the laparoscopic operation, and to compare ES with the ultrasonically activated scalpel （US）. METHODS： Forty patients with rectal cancer, who underwent laparoscopic TME with anal sphincter preservation from June 2005 to June 2007, were randomly divided into ultrasonic scalpel group and monopolar ES group, prospectively. White blood cells （WBC） were measured before and after operation, operative time, blood loss, pelvic volume of drainage, time of anal exhaust, visual analogue scales （VAS） and surgery-related complications were recorded. RESULTS： All the operations were successful; no one was converted to open procedure. No significant differences were observed in terms of preoperative and postoperative d I and d 3 WBC counts （P = 0.493, P = 0.375, P = 0.559）, operation time （P = 0.235）, blood loss （P = 0.296）, anal exhaust time （P = 0.431）, pelvic drainage volume and VAS in postoperative d 1 （P = 0.431, P = 0.426） and d 3 （P = 0.844, P = 0.617） between ES group and US group. The occurrence of surgery-related complications such as anastomotic leakage and wound infection was the same in the two groups.CONCLUSION： ES is a safe and feasible tool as same as US used in laparoscopic TME with anal sphincter preservation for rectal cancer on the basis of the skillful laparoscopic technique and the complete understanding of laparoscopic pelvic anatomy. Application of ES can not only reduce the operation costs but also benefit the popularization of laparoscopic operation for rectal cancer patients.

Colonic gas explosion during therapeutic colonoscopy with electrocautery

Therapeutic colonoscopy with electrocautery is widely used around the world. Adequate colonic cleansing is considered a crucial factor for the safety of this procedure. Colonic gas explosion, although rare, is one of the most frightening iatrogenic complications during colonoscopy with electrocautery. This complication is the result of an accumulation of colonic gases to explosive concentrations, but may be prevented by meticulous bowel preparation. The purpose of.this review is to discuss the indications and the types of bowel preparations for therapeutic colonoscopy, and to contribute recommendations for the adequate bowel preparation for colonoscopy with electrocautery.

Electrocautery vs non-electrocautery dilation catheters in endoscopic ultrasonography-guided pancreatic fluid collection drainage

AIM: To investigate the safety and utility of an electrocautery dilation catheter for endoscopic ultrasonography(EUS)-guided pancreatic fluid collection drainage.METHODS: A single-center, exploratory, retrospective study was conducted between August 2010 and August 2014. This study was approved by the Medical Ethics Committee of our institution. Informed, written consent was obtained from each patient prior to the procedure. The subjects included 28 consecutive patients who underwent EUS-guided transmural drainage(EUS-TD) for symptomatic pancreatic and peripancreatic fluid collections(PFCs) by fine needle aspiration using a 19-gauge needle. These patients were retrospectively divided into two groups based on the use of an electrocautery dilation catheter as a fistula dilation device; 15 patients were treated with an electrocautery dilation catheter(electrocautery group), and 13 patients were treated with a non-electrocautery dilation catheter(non-electrocautery group). We evaluated the technical and clinical successes and the adverse events associated with EUS-TD for the treatment of PFCs between the two groups.RESULTS: There were no significant differences in age, sex, type, location and diameter of PFCs between the groups. Thirteen patients(87%) in the electrocauterygroup and 10 patients(77%) in the non-electrocautery group presented with infected PFCs. The technical success rates of EUS-TD for the treatment of PFCs were 100%(15/15) and 100%(13/13) for the electrocautery and the non-electrocautery groups, respectively. The clinical success rates of EUS-TD for the treatment of PFCs were 67%(10/15) and 69%(9/13) for the electrocautery and the non-electrocautery groups, respectively(P = 0.794). The procedure time of EUS-TD for the treatment of PFCs in the electrocautery group was significantly shorter than that of the non-electrocautery group(mean ± SD: 30 ± 12 min vs 52 ± 20 min, P < 0.001). Adverse events associated with EUS-TD for the treatment of PFCs occurred in 0 patients and 1 patient for the electrocautery and the non-electrocautery groups, respectively(P = 0.942).CONCLUSION: EUS-TD using an electrocautery dilation catheter as a fistula dilation device for the treatment of symptomatic PFCs appears safe and contributes to a shorter procedure time.

Bugbee flexible electrocautery facilitates choledochoscopic biopsy,fulguration,and debulking of a high grade intraductal papillary neoplasm of the bile duct

To the Editor:Intraductal papillary neoplasm of the bile duct(IPNB)may occur in the setting of primary sclerosing cholangitis,choledochal cysts or hepatolithiasis[1].The entity may be a precursor of cancer or intrahepatic cholangiocarcinoma.Invasive carcinoma,tubular or mucinous adenocarcinoma is present in approximately 40%-80%of IPNBs[1–3].IPNB is frequently found in the resection margins of patients undergoing hepatectomy for cholangiocarcinoma[4].

Analysis of electrocautery smoke released from the tissues frequently cut in orthopedic surgeries

BACKGROUND Electrosurgical smoke could be different by the device of cutting or the type of tissue that is being cut.AIM To analyze the electrocautery smoke released from the tissues that are frequently cut in orthopedic surgeries.METHODS The released smoke from electrocautery of five different tissue types(meniscus,ligament,adipose,muscle,and synovium)of five patients who underwent total knee arthroplasty were collected and analyzed for volatile organic compounds(VOCs)and 27 candidate polycyclic aromatic hydrocarbons(n=25).Surgical smoke was produced with an electrocautery device for 4 min.RESULTS None of the 27 evaluated polycyclic aromatic hydrocarbons compounds were detectable in electrocautery smoke collected from the surgical cutting of the different tissues.The number and identity of detected VOCs were similar between the patients but not between tissue types.The number of detected VOCs was the highest in synovial tissue(n=21)and the lowest in the meniscus and adipose tissue(n=12).The number of toxic and/or carcinogenic VOCs were the most in the muscle and meniscus tissues(Toluene,Ethylbenzene,and Styrene).No toxic and/or carcinogenic VOCs were identified in the ligament and adipose tissue.CONCLUSION Meniscus and muscle tissue are associated with the highest number of toxic and/or carcinogenic VOCs.Therefore,we recommend that surgeons avoiding the electrocautery of these tissues.

Rapid Establishment of Tracheal Stenosis in Pigs Using Endotracheal Tube Cuff Overpressure and Electrocautery

To apply a new airway treatment to humans, preclinical studies in an appropriate animalmodel is needed. Canine, porcine and leporine tracheas have been employed as animal airwaystenosis models using various methods such as chemical caustic agents, laser, and electrocautery.However, existing models take a long time to develop (3- 8 weeks) and the mechanism of stenosisis different from that in humans. The aim of the present study was to establish a new and fasttracheal stenosis model in pigs using a combination of cuff overpressure intubation (COI) andelectrocautery. Fourteen pigs were divided into three groups: tracheal cautery (TC) group (n=3),COI group (n=3), and COI-TC combination group (n=8). Cuff overpressure (200/400/500 mmHg)was applied using a 9-mm endotracheal tube. Tracheal cautery (40/60 watts) was performed usinga rigid bronchoscopic electrocoagulator. After intervention, the pigs were observed for 3 weeks andbronchoscopy was performed every 7 days. When the cross-sectional area decreased by > 50%, itwas confirmed that tracheal stenosis was established. The time for tracheal stenosis was 14 days inthe TC group and 7 days in the COI-TC combination group. In the COI group, no stenosis occurred.In the COI-TC group, electrocautery (40 watts) immediately after intubation for>1 h with a cufpressure of 200 mmHg or more resulted in suficient tracheal stenosis within 7 days. Moreover, thedegree of tracheal stenosis increased in proportion to the cuff pressure and tracheal intubation time.The combined use of cuf overpressure and electrocautery helped to establish tracheal stenosis inpigs rapidly.

Postoperative Outcomes in Coblation versus Electrocautery Tonsillectomies

Purpose: To investigate whether children undergoing a tonsillectomy or adenotonsillectomy (AT) with Coblation? will experience less postoperative pain and return to a normal diet and a regular activity level sooner compared to the same procedure using electrocautery dissection. This may manifest less school and work missed by the child and caregiver, respectively. Materials and Methods: Seventy-four children between the ages 2-13 years with either obstructive sleep apnea or chronic tonsillitis were recruited at a single tertiary-care center from January 2011 to November 2012 and underwent an AT via electrocautery or Coblation?. Caregivers were given a ten-point Wong-Baker FACES pain scale and questions inquiring the degree of oral intake, activity level, and impact on both the child and caregiver in regards to missing work or school on postoperative days (POD) 0, 1, 2, 3, 5, 7, and 14. Results: Children in the Coblation? arm required less pain medications (p 0.0049) on POD 0. Subsequent results were not significantly different for any other day. Age- and gendered-controlled multivariate analysis revealed a statistically significant difference in pain medications administered (p 0.0001) but not pain scores (p 0.2115) between the two techniques, although this difference in medications is likely related to the results observed on POD 0. There was no incidence of postoperative hemorrhage in either group. Conclusions: While there was less pain medication administered and slightly improved oral intake of liquids on POD 0 for children in the Coblation? arm, there was no difference in subsequent postoperative outcome or hemorrhage rates.

光动力疗法与子宫颈环形电切术治疗宫颈上皮内瘤变2级的疗效对比

目的评价光动力疗法与宫颈环形电切术(LEEP)治疗宫颈上皮内瘤变2级(CIN2)的疗效及不良事件的发生情况。方法40例CIN2级患者依治疗方案不同分为光动力组20例和LEEP组20例,于治疗后3、6及12个月进行随访,比较2组患者高危型HPV病毒(HR-HPV)、阴道微生态、阴道镜检查和宫颈活检情况,记录不良事件发生情况。结果2组间患者治疗后3个月的病变逆转、病变残留及病变进展构成差异无统计学意义。光动力组治疗后6个月时1例复发者和LEEP组治疗后12个月时1例复发者的宫颈活检病理均为CIN1级。2组患者治疗后3、6及12个月HR-HPV转阴率、正常阴道微生态比例差异无统计学意义。光动力组治疗后3、6、12个月患者的正常阴道微生态比例呈依次增高的趋势。在治疗过程中,光动力组患者疼痛能忍受,LEEP组疼痛明显并伴有出血;2组治疗后均有阴道分泌物增多、下腹坠痛,但LEEP组有宫颈局部瘢痕形成并有1例出现阴道出血。结论光动力疗法治疗CIN2效果较好,HR-HPV转阴率高,对宫颈几乎无损伤,尤其适用于有生育要求的患者。

优路铥激光结合曲安奈德腔内注射治疗尿道吻合术失败病例的疗效观察

目的:探讨优路铥激光结合曲安奈德腔内注射治疗尿道吻合术失败病例的临床经验。方法:回顾性分析2018年1月至2023年12月收治的盆腔骨折尿道牵张性缺损(PFUDD)男性患者。共纳入尿道吻合术失败患者35例,根据内切开能量平台分别为优路铥激光和等离子组。所有患者均在直视下尿道狭窄内切开术,并予以曲安奈德腔内局部注射,记录年龄、狭窄长度、手术时间、术前最大尿流率、术后最大尿流率、术后并发症以及狭窄复发情况。结果:所有患者均顺利完成所有治疗,两组患者在年龄、狭窄长度、手术时间、并发症率及狭窄复发率上均无统计学差异(P>0.05)。铥激光组和等离子组中位随访时间分别为21.0个月(IQR 16.0~24.0)和21.0个月(IQR 17.0~25.0),术前和术后12个月的最大尿流率均有显著差异(P<0.01)。两组无复发生存期无统计学差异(P=0.398)。结论:优路铥激光尿道内切开结合曲安奈德腔内局部注射在短期内可有效维持尿道狭窄瘢痕的稳定,保持良好的尿道通畅性。与传统等离子内切开相比,该策略术后并发症率较低,具有操作简单、安全、并发症少、疗效可靠等特点,可作为PFUDD患者吻合术失败后的补救治疗方法。

不同经尿道前列腺切除术治疗良性前列腺增生的疗效与安全性分析

目的探究不同经尿道前列腺切除术治疗良性前列腺增生的疗效与安全性分析。方法选取2021年1月至2023年5月本院收治的良性前列腺增生患者215例临床资料开展回顾性分析,根据手术方式分为经尿道前列腺等离子电切术治疗的等离子电切术组(n=81)、经尿道前列腺激光切除术治疗的激光切除术组(n=92)、经尿道前列腺绿激光剜除术治疗的绿激光剜除术组(n=42),比较三组围手术期指标(手术时间、术中出血量、膀胱冲洗时间、留置尿管时间、术后血红蛋白浓度、住院时间)、尿动力学指标(RUV、IPSS评分、Qmax、QOL评分)、术后并发症发生情况的差异。结果绿激光剜除术组、激光切除术组总有效率高于等离子电切术组(P<0.05)。3组住院时间比较差异无统计学意义(P>0.05),但绿激光剜除术组手术时间>激光切除术组>等离子电切术组(P<0.05),绿激光剜除术组、激光切除术组术中出血量、膀胱冲洗时间、留置尿管时间<等离子电切术组,且术后血红蛋白浓度>等离子电切术组(P<0.05)。重复测量方差分析结果显示,3组术后1个月、术后3个月RUV、IPSS评分、QOL评分与术前相比均降低,而Qmax与术前相比均升高(P<0.05),且激光切除术组与绿激光剜除术组术后1个月、术后3个月RUV、IPSS评分、QOL评分均低于等离子电切术组,Qmax均高于等离子电切术组(P<0.05),但激光切除术组与绿激光剜除术组术后1个月、术后3个月RUV、IPSS评分、Qmax、QOL评分比较差异无统计学意义(P>0.05)。绿激光剜除术组术后并发症总发生率<激光切除术组<等离子电切术组(7.14%vs.21.74%vs.35.80%,P<0.05)。结论3种手术方式治疗良性前列腺增生均具有较好疗效,但经尿道前列腺激光切除术与绿激光剜除术疗效与安全性均优于经尿道前列腺等离子电切术,可促进患者早期康复,且经尿道前列腺绿激光剜除术治疗安全性最好。

前列腺增生病人等离子电切术后自我效能现状及其影响因素

目的:分析前列腺增生(BPH)病人等离子电切术后自我效能现状及其影响因素。方法:选取我院2021年2月—2023年5月行等离子电切术治疗的104例BPH病人为研究对象,术后3 d采用一般资料调查表、一般自我效能感量表(GSES)、家庭功能评定量表、医院焦虑抑郁量表、简易应对方式量表进行调查,采用多重线性回归分析探究BPH病人等离子电切术后影响自我效能水平的因素。结果:104例BPH病人等离子电切术后GSES评分为(25.46±2.69)分,处于中等水平;多重线性回归分析结果显示,文化水平高中以下、独居、家庭功能低下、心理状况较差、消极应对是影响BPH病人等离子电切术后自我效能的危险因素(P<0.05)。结论:BPH病人等离子电切术后自我效能处于中等水平,可能受文化水平、居住方式、家庭功能、心理状况、应对方式的影响,临床中可据此制定个体化干预方案,以改善病人自我效能。

重组牛碱性成纤维细胞生长因子凝胶联合宫颈环形电切术治疗宫颈上皮内瘤变的临床效果

目的探究重组牛碱性成纤维细胞生长因子(rb-bFGF)凝胶联合宫颈环形电切术(LEEP)治疗宫颈上皮内瘤变的临床效果。方法选取2021年7月至2023年8月于抚州市第一人民医院就诊的88例宫颈上皮内瘤变患者作为研究对象,采用随机数字表法分为研究组(44例)及对照组(44例)。对照组采用LEEP刀治疗,研究组在其基础上联合rb-bFGF凝胶。比较两组临床疗效、创面愈合情况、人乳头瘤病毒(HPV)-DNA16及HPV-DNA18表达量、并发症。结果研究组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。研究组阴道出血量少于对照组,创面愈合时间及阴道出血持续时间均短于对照组,差异有统计学意义(P<0.05)。研究组治疗后HPV-DNA16、HPV-DNA18表达量均低于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论rb-bFGF凝胶联合LEEP刀在宫颈上皮内瘤变患者治疗中效果显著,能够有效缩短创面愈合时间,减少创面出血量,同时还可降低HPV表达水平,遏制病毒复制,且术后并发症较少,安全可靠,值得推广应用。

宫腔镜下电切术与宫腔镜下刮宫术治疗异常子宫出血的疗效比较

目的探究宫腔镜下电切术与宫腔镜下刮宫术治疗异常子宫出血(AUB)的临床疗效。方法选择本院收治的60例AUB患者,按照治疗方式的不同分为宫腔镜下电切术组和宫腔镜下刮宫术组,比较两组疗效。结果宫腔镜下电切术组病因的检出率为86.67%,高于宫腔镜下刮宫术组的80.00%,但比较差异无统计学意义(P>0.05)。宫腔镜下电切术组并发症发生率低于宫腔镜下刮宫术组,手术时间长于宫腔镜下电切术组,差异有统计学意义(P<0.05)。结论在AUB的治疗上,宫腔镜下电切术和宫腔镜下刮宫手术的病因检出率均较高,但宫腔镜下电切术治疗效果更好,并发症更少,值得临床推广与应用。

宫腔镜下电切术与刮宫术在治疗子宫内膜息肉所致的不孕症中的临床疗效对照研究

目的探讨宫腔镜下电切术与刮宫术在治疗子宫内膜息肉所致的不孕症中的临床疗效。方法选取本院100例子宫内膜息肉不孕症患者为研究对象,按照随机数字表法分为两组,各50例。电切组采用宫腔镜下电切术治疗,刮宫组采用刮宫术治疗,比较两组治疗效果。结果电切组患者手术时间、住院时间均短于刮宫组,术中出血量低于刮宫组(P<0.05)。电切组患者术后并发症发生率低于刮宫组(P<0.05)。电切组患者随访1年内的妊娠率高于刮宫组(P<0.05)。结论宫腔镜下电切术治疗子宫内膜息肉优势明显,术中出血量较低,术后并发症发生率低,对患者的生育能力影响较小,建议推广与应用。

腹腔镜电凝及超声刀止血方式对腹腔镜全子宫切除术患者性激素近期卵巢功能及免疫功能的影响

目的:分析腹腔镜下单、双极电凝及超声刀止血方式对行腹腔镜全子宫切除术患者性激素、近期卵巢功能及免疫功能的影响。方法:选取2020年10月至2023年12月本院收治行腹腔镜全子宫切除术患者105例,根据简单随机法分为单、双极电凝组(n=53)、超声刀组(n=52)。比较两组相关手术指标、性激素[黄体生成素(LH)、促卵泡素(FSH)、雌二醇(E2)]、卵巢功能[最大直径(MOD)、窦卵泡计数(AFC)、卵巢动脉收缩期峰值血流速度(PSV)]、免疫功能及并发症。结果:两组术中失血量比较,具有统计学差异(P<0.05)。术前两组LH、FSH及E2水平差异无统计学意义(P>0.05),术后,两组LH、FSH较术前升高,及E2水平均显著变化较术前降低,术后,单、双极电凝组LH、FSH、E2差值高于超声刀组(P<0.05)。术前两组MOD及PSV差异无统计学意义,对照组术前后AFC差异无统计学意义(P>0.05),术后,两组MOD、PSV较术前降低,术后,单、双极电凝组MOD、AFC及PSV差值高于超声刀组(P<0.05)。术前两组CD3^(+)、CD4^(+)、CD8^(+)水平差异无统计学意义(P>0.05),术后,两组CD3^(+)、CD4^(+)、CD8^(+)较术前降低,术后,单、双极电凝组CD3^(+)、CD4^(+)、CD8^(+)差值高于超声刀组(P<0.05)。超声刀组月经周期异常发生率低于单、双极电凝组(P<0.05)。结论:腹腔镜下单、双极电凝及超声刀止血方式对行腹腔镜全子宫切除术患者性激素、近期卵巢功能及免疫功能均有一定影响,但超声刀止血方式不同类型、规模的手术,需结合患者具体情况选择合适的止血方式。

育龄期子宫内膜息肉宫腔镜电切术后复发预警模型构建

目的:构建育龄期下子宫内膜息肉宫腔镜电切术后复发预警模型。方法:回顾性选取2020年7月-2022年12月接受子宫内膜息肉宫腔镜电切手术治疗的109例患者分析复发影响因素,构建预警模型,另取2023年1月-7月的47例患者作为验证,所有患者根据术后是否复发分为复发组和未复发组。使用多因素logistic回归分析术后复发的影响因素并构建患者术后复发的风险预测模型,模型准确度以ROC曲线判断。通过Hosmer-Lemeshow检验评价该模型的拟合度。结果:独立影响因素构建的预警模型ROC曲线下面积为0.935(95%CI:0.863~1.000)。H-L检验显示拟合度优良。结论:根据影响因素构建的育龄期子宫内膜息肉宫腔镜电切术后复发的风险预警模型预测效能良好,可为临床预防患者术后复发提供参考。

宫腹腔镜联合肌瓣填充缝合术与宫腔镜电切术治疗子宫瘢痕憩室的疗效对比研究

目的:探讨宫腔镜电切术与宫腹腔镜联合肌瓣填充缝合术治疗子宫瘢痕憩室的临床疗效。方法:回顾分析2018年8月至2023年6月手术治疗的68例子宫瘢痕憩室患者的临床资料,根据手术方式分为两组,A组(n=38)行宫腔镜电切术,B组(n=30)行宫腹腔镜联合肌瓣填充缝合术。比较两组手术相关指标、临床疗效、术后3个月子宫前壁下端肌层厚度等。结果:两组术后经期均缩短,手术前后差异有统计学意义(P<0.05);A组术中出血量少于B组,手术时间、住院时间均短于B组,差异有统计学意义(P<0.05);术后3个月复查子宫前壁下端肌层厚度,A组手术前后差异无统计学意义,B组由术前的(2.09±0.48)mm增加至术后的(6.52±0.21)mm,差异有统计学意义(P<0.05)。结论:两种术式均能明显改善剖宫产术后子宫瘢痕憩室引起的异常子宫出血症状。宫腔镜电切术操作相对简单、创伤小、术中出血少、手术时间短,适于无生育要求、月经期延长影响生活质量、术前子宫憩室残存子宫肌层厚度≥3 mm的患者;宫腹腔镜联合肌瓣填充术不破坏子宫的完整性,术后避孕时间短,可增加术后子宫前壁肌层厚度,适于有生育要求的子宫憩室患者。

宫腔镜下电切术与刮宫术对子宫内膜息肉的治疗效果比较研究

对比宫腔镜下电切术及刮宫术对子宫内膜息肉的治疗效果。选取2020年1月—2022年8月医院收治的50例子宫内膜息肉患者为研究对象,随机将患者均分为对照组和观察组,每组各25例。对照组实施刮宫术治疗,观察组实施宫腔镜下电切术治疗,比较两组患者治疗效果、手术指标、疼痛指标以及生活质量评分。结果显示,观察组治疗效果、手术指标、疼痛指标以及生活质量评分均优于对照组(P<0.05)。研究发现,宫腔镜下电切术治疗子宫内膜息肉相较于刮宫术可优化患者的治疗效果,改善患者的手术指标以及生活质量评分,建议在临床推广。

苯磺酸瑞马唑仑复合静脉麻醉在宫颈环形电切术中的临床应用

目的 探究在宫颈环形电切术中应用苯磺酸瑞马唑仑复合静脉麻醉的效果。方法 本次试验选取本院在2022年6月—2023年5月收治的60例行宫颈环形电切术患者,并将其作为数据分析对象,分组时按麻醉方案不同共分为对照和观察两组,每组30例。对照组实施舒芬太尼加丙泊酚方式,观察组在对照组基础上实施苯磺酸瑞马唑仑复合静脉麻醉,比较两组临床相关指标,心率(HR)、平均动脉压(MAP),苏醒质量,不良反应。结果 两组对比临床相关指标,观察组术中失血量、术中输液量与对照组差异无统计学意义(P>0.05),丙泊酚用量少于对照组,差异显著有统计学意义(P<0.05)。两组HR、MAP均呈现先降低后上升趋势,对比于对照组,观察组HR各时间点数值虽偏高,差异无统计学意义(P>0.05);两组MAP各时间点数值比较,观察组较高,差异显著有统计学意义(P<0.05)。两组对比苏醒质量,观察组各时间点改良警觉/镇静(MOAA/S)评分均高于对照组,差异显著有统计学意义(P<0.05)。两组对比不良反应,观察组明显低于对照组,差异显著有统计学意义(P<0.05)。结论 在对行宫颈环形电切术患者麻醉时,给予苯磺酸瑞马唑仑复合静脉麻醉,效果较为显著,在临床麻醉方案中值得大范围推广与实施。