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目的:分析单独应用双极电凝行腹腔镜下全子宫切除术的效果及安全性。方法:选择苏州市九龙医院2006年1月~2009年12月期间腹腔镜下应用双极电凝全子宫切除术患者56例,选择超声刀联合双极电凝患者42例,观察两组患者的手术时间、术中出血量、并发症、住院时间及预后等。结果:双极电凝组手术时间与超声刀联合双极组比较,无统计学差异(P>0.05);双极电凝组术中出血量与超声刀联合双极组比较,无统计学差异(P>0.05);两组术中并发症、住院天数、预后比较均无统计学差异。结论:在熟练掌握腹腔镜全子宫切除术的技巧下,双极电凝是安全、可行的,是一种简便、经济的能源器械。
Objective: To analyze the efficacy and safety of laparoscopic total hysterectomy with bipolar coagulation alone. Methods: Fifty-six patients underwent laparoscopic bipolar coagulation hysterectomy from January 2006 to December 2009 in Jiulong Hospital of Suzhou City. Forty-two patients with bipolar coagulation were selected by ultrasound scalpel. Operation time, intraoperative blood loss, complications, hospital stay and prognosis. Results: There was no significant difference between bipolar coagulation group and bipolar group (P> 0.05). The bleeding volume in bipolar coagulation group was significantly higher than that in ultrasound bipolar group (P> 0.05). There was no significant difference in the complication, hospitalization days and prognosis between the two groups. CONCLUSION: Bipolar coagulation is safe and feasible under the skill of laparoscopic hysterectomy. It is a simple and economical energy device.