發(fā)布時(shí)間：2017-12-30 22:12

  本文關(guān)鍵詞：單極電凝聯(lián)合Ligasure與超聲刀在腹腔鏡遠(yuǎn)端胃癌根治術(shù)中臨床療效的對(duì)比研究　出處：《蘇州大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 胃癌 腹腔鏡 單極電凝 Ligasure 超聲刀

【摘要】：目的:比較單極電凝聯(lián)合Ligasure與超聲刀兩者在腹腔鏡遠(yuǎn)端胃癌根治術(shù)(LADG)中的臨床療效,為單極電凝聯(lián)合Ligasure的臨床應(yīng)用奠定基礎(chǔ)。方法:回顧性分析2012年1月-2014年1月蘇州大學(xué)附屬第一醫(yī)院112例LADG的臨床資料,其中觀察組53例以單極電凝聯(lián)合Ligasure為主要操作器械,對(duì)照組59例以超聲刀為主要操作器械,比較兩組病例手術(shù)時(shí)間、術(shù)中出血量、淋巴結(jié)清掃數(shù)目、術(shù)后引流液量、術(shù)后拔管時(shí)間、住院天數(shù)、胃腸道功能恢復(fù)時(shí)間和術(shù)后并發(fā)癥方面的差異。結(jié)果:觀察組手術(shù)時(shí)間為(131±47.2)min短于對(duì)照組(151±51.8)min(P=0.018);觀察組術(shù)中出血量為(108.2±43.9)m L少于對(duì)照組(188.4±51.7)m L(P=0.026);觀察組術(shù)后引流液量為(216±68)m L少于對(duì)照組(272±76)m L(P=0.041);兩組在淋巴結(jié)清掃數(shù)目、術(shù)后拔管時(shí)間、住院天數(shù)、胃腸道功能恢復(fù)時(shí)間、術(shù)后大出血以及肺部感染等并發(fā)癥方面無統(tǒng)計(jì)學(xué)差異。結(jié)論:以單極電凝聯(lián)合Ligasure行LADG是安全、可行的,且具有縮短手術(shù)時(shí)間,減少術(shù)中出血的優(yōu)點(diǎn)。
[Abstract]:Objective: To compare the monopolar electrocoagulation combined with Ligasure and ultrasound knife in both laparoscopic distal gastrectomy (LADG) clinical curative effect, lay the foundation for the clinical application of monopolar electrocoagulation combined with Ligasure. Methods: the clinical data were retrospectively analyzed in First Hospital Affiliated to Suzhou University in January January 2012 -2014 LADG in 112 cases, including 53 cases with monopolar electrocoagulation combined with Ligasure as the main operating instruments of the observation group, 59 cases in the control group with ultrasonic knife as the main operating equipment, the two groups were compared operative time, intraoperative blood loss, number of lymph node dissection, postoperative drainage volume, postoperative extubation time, hospitalization time, differences in gastrointestinal function recovery time and postoperative complications. Results: in the observation group, operation time was (131 + 47.2) min shorter than the control group (151 + 51.8) min (P=0.018); the amount of bleeding was (108.2 + 43.9) m L less than that of the control group (188.4 + 51.7) m L (P=0.026); observation Postoperative drainage fluid volume (216 + 68) m L less than that of the control group (272 + 76) m L (P=0.041); the two groups in the number of lymph node dissection, postoperative extubation time, hospitalization time, gastrointestinal function recovery time, no significant difference in postoperative bleeding and pulmonary infection and other complications conclusion: monopolar electrocoagulation combined with Ligasure for LADG is safe, feasible, and has the advantages of shortening operation time, reduce intraoperative bleeding.

【學(xué)位授予單位】：蘇州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R735.2

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本文編號(hào)：1356743