本文選題：Ligasure血管閉合系統(tǒng)　切入點：宮頸癌　出處：《廣西醫(yī)科大學》2014年碩士論文

【摘要】：目的：探討免結扎技術在宮頸癌手術治療中的應用價值。 方法：采用前瞻性隨機對照研究,通過設定入選標準與排除標準,篩選自：2011年10月至2013年12月期間,因宮頸癌在廣西壯族自治區(qū)人民醫(yī)院婦科住院,需行經腹廣泛性全子宮切除術+盆腔淋巴結清掃術的病例共105例,隨機分為2組,其中53例術中應用Li gasure血管閉合系統(tǒng),作為實驗組；52例術中使用傳統(tǒng)縫扎技術,作為對照組；所有兩組篩選出的患者術前均已確診宮頸癌并明確分期,未合并嚴重內、外科疾病,未行術前放、化療等。收集記錄兩組所有患者的手術時間、術中出血量及住院時間等等術前術后情況,通過對比應用Li gasure血管閉合系統(tǒng)的經腹廣泛性全子宮切除術+盆腔淋巴結清掃術與對照組行此術式的以上指標進行分析比較。 結果：(1)手術時間：對照組完成手術時間為160～295min(207.15±35.66min),實驗組完成手術時間為122～278min(162.92±35.61min),對照組手術時間明顯長于實驗組(p0.05)；(1)術中出血量：對照組手術過程中的出血量為300～1800ml(720.19±352.90m1),實驗組手術過程中的出血量為120～1500ml(591.51±286.57m1),對照組手術過程中的出血量明顯多于實驗組(p0.05)；(3)住院時間：對照組住院時間為10-34天(16.85±5.73天),實驗組住院時間為9-28天(15.20±4.05天),實驗組與對照組住院時間比較,差異無顯著性(p=0.09)。 結論：免結扎技術(Ligasure血管閉合系統(tǒng))應用在宮頸癌手術中,能明顯減少手術時間及術中出血量,但對患者住院時間的影響尚需進一步對照研究。Ligasure血管閉合系統(tǒng)具有止血可靠、熱傳導小、體內無異物存留等特點,因其可容易快捷控制出血,避免了繁瑣的結扎和止血從而明顯縮短手術時間及減少術中出血量,可以在婦科其他腫瘤手術中推廣應用。
[Abstract]:Objective : To evaluate the value of ligation - free technique in the treatment of cervical cancer .

Methods : From October 2011 to December 2013 , 105 patients were randomly divided into 2 groups . Among them , 53 cases were treated with Li gasure vascular closure system as experimental group .
Conventional suture ligation was used in 52 cases as control group .
All patients were diagnosed with cervical cancer before the procedure , without serious internal and surgical diseases , pre - operative radiotherapy , chemotherapy , etc . The operation time of all patients in the two groups , the amount of bleeding during operation and the time of hospitalization were collected and recorded , and compared with those of the control group , the above indexes were analyzed by comparing the total hysterectomy with the Li gasure vascular closure system plus pelvic lymph node dissection .

Results : ( 1 ) Operative time : The operative time of the control group was 160 锝，

本文編號：1720016