国际妇产科学杂志

国际妇产科学杂志 ›› 2013, Vol. 40 ›› Issue (2): 174-175.

• 论著 • 上一篇    下一篇

妇科腹腔镜手术中结扎束血管闭合系统与双极电凝止血的对比研究

庞 辉， 岳秀英 ， 岳天孚   

  1. 300052 天津医科大学总医院妇产科（庞辉，岳天孚）；天津市宝坻区人民医院（庞辉，岳秀英）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2013-04-15 发布日期:2013-04-15
  • 通讯作者: 岳天孚

Comparison on Clinical Application of Vessel Sealing System and Bipolar Electric Coagulation in Gynecological Laparoscopic Surgery

PANG Hui，YUE Xiu-ying，YUE Tian-fu   

  1. Tianjin Medical University General Hospital，Tianjin 300052，China（PANG Hui，YUE Tian-fu）；Baodi District Hospital，Tianjin 301800，China（PANG Hui，YUE Xiu-ying）
  • Received:1900-01-01 Revised:1900-01-01 Published:2013-04-15 Online:2013-04-15
  • Contact: YUE Tian-fu

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5022

被引次数

15

摘要： 目的：比较结扎束血管闭合系统（简称结扎束）与双极电凝在妇科腹腔镜手术中应用的效果及安全性。方法：对180例妇科腹腔镜手术的患者进行回顾性分析（包括输卵管切除术、输卵管及卵巢切除术、子宫全切术），90例使用结扎束血管闭合系统（LigaSure血管闭合系统）闭合卵巢和子宫血管，另90例使用普通双极电凝钳凝固闭合卵巢和子宫血管，比较2组手术时间、术中出血量、术后恢复情况及近期术后并发症的发生情况。结果：2组术后住院时间及排气时间差异无统计学意义（P＞0.05），手术时间及术中出血量差异有统计学意义，结扎束组少（短）于双极电凝组（均P＜0.05）；术后最高体温结扎束组低于双极电凝组（P＜0.05）。结论：结扎束血管闭合系统较双极电凝更安全，更有效地闭合血管，减少出血量及缩短手术时间，减少术后发热。

关键词: 结扎束血管闭合系统, 电凝术, 腹腔镜, 妇科外科手术

Abstract: Objective：To compare the effects and safety of LigaSure vessel sealing system and bipolar electric coagulation in gynecological laparoscopic surgery. Methods：Analyzed retrospectively 180 cases of gynecologic laparoscopic surgery patients（salpingectomy，oophorectomy，hysterectomy）. In 90 cases，LigaSure vessel sealing system was applied to occlude the ovarian and uterine vessels. In another 90 cases，bipolar electric coagulation was used. The operation time，intra-operative blood loss，recovery condition after the operation and post-operative early complications were compared. Results：In both group， recovery condition after the operation and postoperative early complications were similar. There were significant differences between two methods in the postoperative morbidity. Conclusions：LigaSure vessel sealing system is safer than bipolar coagulation in effective vascular closure，reducing the amount of bleeding and shorten the operation time，reduce postoperative morbidity.

Key words: LigaSure vessel sealing system, Electrocoagulation, Laparoscopes, Gynecologic surgical procedures