能量器械与传统缝扎技术在经腹宫颈癌手术中的对比分析
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摘要
目的探讨能量器械超声刀、LigaSure血管闭合系统、百克钳与传统缝扎术在经腹宫颈癌手术中的治疗效果。方法选取我院自2012年12月至2017年12月行腹式宫颈癌手术治疗的患者共209例,分为超声刀组(61例)、LigaSure血管闭合系统组(49例)、百克钳组(45例)、传统缝扎组(54例),比较分析各组相关指标。结果能量器械组的平均手术时间、切除淋巴结数目、术中出血量均优于传统缝扎组,差异有统计学意义(P<0.05);各组术后住院时间、肛门排气时间、拔出引流管时间差异无统计学意义(P>0.05)。结论早期宫颈癌患者在行经腹宫颈癌手术中应用能量器械可提高手术的安全性和有效性,具有较高的临床应用价值。
Objective To investigate the therapeutic effect of energy instruments(ultrasonic scalpel, LigaSure vascular closure system, BiClamp) and traditional suture technique in transabdominal cervical cancer resection. Methods A total of 209 patients with transabdominal cervical cancer surgery from December 2012 to December 2017 in our hospital were selected, which were divided into ultrasonic scalpel group(61 cases), LigaSure group(49 cases), BiClamp group(45 cases), and traditional suture group(54 cases).The relevant indicators of each group were compared and analyzed. Results The average operation time, number of resected lymph nodes, and intraoperative blood loss in the energy instrument groups were all better than those in the traditional suture group(P<0.05).There was no significant difference in the postoperative hospitalization time, anal exhaust time, and the drainage tube extraction time of each group(P>0.05). Conclusion The application of energy instruments in transabdominal cervical cancer surgery for patients with early cervical cancer can improve the safety and effectiveness of the surgery, and has a high clinical application value.
Objective To investigate the therapeutic effect of energy instruments(ultrasonic scalpel, LigaSure vascular closure system, BiClamp) and traditional suture technique in transabdominal cervical cancer resection. Methods A total of 209 patients with transabdominal cervical cancer surgery from December 2012 to December 2017 in our hospital were selected, which were divided into ultrasonic scalpel group(61 cases), LigaSure group(49 cases), BiClamp group(45 cases), and traditional suture group(54 cases).The relevant indicators of each group were compared and analyzed. Results The average operation time, number of resected lymph nodes, and intraoperative blood loss in the energy instrument groups were all better than those in the traditional suture group(P<0.05).There was no significant difference in the postoperative hospitalization time, anal exhaust time, and the drainage tube extraction time of each group(P>0.05). Conclusion The application of energy instruments in transabdominal cervical cancer surgery for patients with early cervical cancer can improve the safety and effectiveness of the surgery, and has a high clinical application value.
引文
[1]刘开江.妇科肿瘤腹腔镜手术中超声刀应用技巧及副损伤防治[J].中国实用妇科与产科杂志,2016,32(7):608-613.
[2]庞辉,岳秀英,岳天孚.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[J].国际妇产科学杂志2013,40(2):174-175.
[3]Lim YS,Cha W,Park MW,et al.HIF1ain Tumorigenesis of Adenoid Cystic Carcinoma[J].Anticancer Res,2017,37(2):599-606
[4]康山.妇科肿瘤腹腔镜手术中单极电刀应用技巧及副损伤防治[J].中国实用妇科与产科杂志,2016,32(7):613-616.
[5]张海波,赵喜娃,赵玮,等.高频电刀和超声刀在腹腔镜下宫颈癌手术中的应用价值研究[J].中国实用妇科与产科杂志,2017,33(4):390-394.
[6]邵茵,李明娥,马利国,等.结扎速血管闭合系统在经腹子宫颈癌根治术中的应用[J].黑龙江医学,2010,34(4):247-249.
[7]边立华,王楠,龚静,等.结扎速血管闭合系统在阴式广泛子宫切除术中的应用研究[J].实用妇产科杂志,2017,33(1):31-34.
[8]Ding Z,Wable M,Rane A.Use of LigaSure bipolar diathermy system in vaginal hysterectomy[J].J Obstet Gynaecol2005,25(1):49-51.
[9]韩丽萍,侯娜,高美,等.盆腔淋巴结清扫术后盆腔淋巴囊肿预防探讨[J].国际妇产科学杂志,2012,39(2):202-205.
[10]苏华,王永来.超声刀和结扎速血管闭合系统闭合血管的可靠性及组织损伤程度研究[J].中国内镜杂志,2007,13(5):489-491
[11]刘超霞,张克强.超声刀在盆腔淋巴结清扫术中的应用[J].中国医学创新杂志,2014,11(1):41-42.
[12]冷金花,戴毅.合理利用能量器械,提高手术效果和安全性[J]中国实用妇科与产科杂志,2016,32(7):601-603.
[13]黄伟龙,赵仁峰.兔结扎技术在宫颈癌手术中的研究进展[J]中国临床新医学,2014,7(3):256-260.
[14]Law KS,Lyons SD.Comparative studies of energy sources in gynecologic laparoscopy[J].J Minim Invasive Gynecol2013,20(3):308-318.
[15]梁岚,赵仁峰,黄伟龙.Ligasure在经腹宫颈癌根治术中应用的可行性分析[J].中国临床新医学,2016,9(12):1086-1087.
[16]林仲秋,卢淮武.妇科开腹及阴式手术中能量器械应用技巧及副损伤防治[J].中国实用妇科与产科杂志,2016,32(7):634-636
[2]庞辉,岳秀英,岳天孚.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[J].国际妇产科学杂志2013,40(2):174-175.
[3]Lim YS,Cha W,Park MW,et al.HIF1ain Tumorigenesis of Adenoid Cystic Carcinoma[J].Anticancer Res,2017,37(2):599-606
[4]康山.妇科肿瘤腹腔镜手术中单极电刀应用技巧及副损伤防治[J].中国实用妇科与产科杂志,2016,32(7):613-616.
[5]张海波,赵喜娃,赵玮,等.高频电刀和超声刀在腹腔镜下宫颈癌手术中的应用价值研究[J].中国实用妇科与产科杂志,2017,33(4):390-394.
[6]邵茵,李明娥,马利国,等.结扎速血管闭合系统在经腹子宫颈癌根治术中的应用[J].黑龙江医学,2010,34(4):247-249.
[7]边立华,王楠,龚静,等.结扎速血管闭合系统在阴式广泛子宫切除术中的应用研究[J].实用妇产科杂志,2017,33(1):31-34.
[8]Ding Z,Wable M,Rane A.Use of LigaSure bipolar diathermy system in vaginal hysterectomy[J].J Obstet Gynaecol2005,25(1):49-51.
[9]韩丽萍,侯娜,高美,等.盆腔淋巴结清扫术后盆腔淋巴囊肿预防探讨[J].国际妇产科学杂志,2012,39(2):202-205.
[10]苏华,王永来.超声刀和结扎速血管闭合系统闭合血管的可靠性及组织损伤程度研究[J].中国内镜杂志,2007,13(5):489-491
[11]刘超霞,张克强.超声刀在盆腔淋巴结清扫术中的应用[J].中国医学创新杂志,2014,11(1):41-42.
[12]冷金花,戴毅.合理利用能量器械,提高手术效果和安全性[J]中国实用妇科与产科杂志,2016,32(7):601-603.
[13]黄伟龙,赵仁峰.兔结扎技术在宫颈癌手术中的研究进展[J]中国临床新医学,2014,7(3):256-260.
[14]Law KS,Lyons SD.Comparative studies of energy sources in gynecologic laparoscopy[J].J Minim Invasive Gynecol2013,20(3):308-318.
[15]梁岚,赵仁峰,黄伟龙.Ligasure在经腹宫颈癌根治术中应用的可行性分析[J].中国临床新医学,2016,9(12):1086-1087.
[16]林仲秋,卢淮武.妇科开腹及阴式手术中能量器械应用技巧及副损伤防治[J].中国实用妇科与产科杂志,2016,32(7):634-636