[1]苏园园,韩燕华,张樱樱,等.LigaSure与超声刀在全腹腔镜子宫切除术中的应用[J].中国微创外科杂志,2009,09(7):613-617.
　Su Yuanyuan,Han Yanhua,Zhang Yingying,et al.Ligasure and Ultracision in Total Laparoscopic Hysterectomy[J].Chinese Journal of Minimally Invasive Surgery,2009,09(7):613-617.
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LigaSure与超声刀在全腹腔镜子宫切除术中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
09
期数:
2009年7期
页码:
613-617
栏目:
出版日期:
2009-08-25

文章信息/Info

Title:
Ligasure and Ultracision in Total Laparoscopic Hysterectomy
作者:
苏园园; 韩燕华; 张樱樱; 陈汝虹; 刘晓珊
广东省中山市人民医院妇科，中山528403
Author(s):
Su Yuanyuan;  Han Yanhua;  Zhang Yingying;  et al.
Department of Gynecology, Zhongshan City People’s Hospital, Zhongshan 528403, China
关键词:
腹腔镜全子宫切除术; 结扎速血管闭合系统; 超声刀
Keywords:
Total laparoscopic hysterectomy; LigaSure vessel sealing system; Ultracision
分类号:
R713.4+2
文献标志码:
A
摘要:
目的探讨LigaSure与超声刀在全腹腔镜子宫切除术中的应用价值。方法回顾分析2002年1月～2006年12月225例腹腔镜全子宫切除术的临床资料，其中应用LigaSure手术152例、应用超声刀手术73例。结果LigaSure组手术时间为（104.9±29.2）min，显著短于超声刀组（152.4±46.6）min (t=-9.329，P=0.000)；LigaSure组术中出血量为（32.9±14.9）ml，显著少于超声刀组（126.4±12.1）ml(t=-46.710，P=0.000)。2组均无中转开腹，无术中副损伤及术后并发症。结论采用LigaSure和超声刀行腹腔镜子宫切除术均安全、可靠。LigaSure在处理子宫血管方面更具有优势，超声刀在打开膀胱反折和离断主韧带方面效果理想。
Abstract:
ObjectiveTo explore the value of Ligasure and Ultracision in total laparoscopic hysterectomy (TLH).MethodsFrom January 2002 to December 2006, totally 225 patients received total laparoscopic hysterectomy in our hospital. Among the cases, Ligasure was used in 152 patients, and Ultracision were employed in 72. The clinical data of the patients were reviewed.ResultsThe mean operation time in the Ligasure group was significantly shorter than that in the Ultracision group ［(1049±29.2) min vs. (152.4±46.6) min, t=-9.329, P=0.000］. And the mean blood loss of the Ligasure group was significantly less than that in the other group ［(32.9±14.9) ml vs. (126.4±12.1) ml, t=-46.710, P=0.000］. In both the groups, no patient was converted to open surgery or developed complications or surgical injuries.ConclusionsBoth Ligasure and Ultracision are safe and effective for total laparoscopic hysterectomy. Ligasure is superior in the management of uterine vessels, while the Ultracision is more effective in opening the vesicle and separating the cardinal ligament.

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更新日期/Last Update: 2013-09-17