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[目的]探讨结扎速血管闭合系统(Ligasure)在腹腔镜辅助阴式子宫切除中的应用。[方法]回顾性分析台州市立医院2008年6月至2010年6月应用Ligasure实施腹腔镜辅助阴式子宫切除手术60例,对照组选自同一手术组医师同期完成的采用双极电凝及传统缝合方式进行的腹腔镜辅助阴式子宫切除手术病例。观察手术时间、术中出血量、术后恢复情况等。[结果]Ligasure组手术时间、术中出血量均少于对照组,无术中副损伤及严重术后并发症。[结论]应用Ligasure行腹腔镜辅助阴式子宫切除术,具有操作简便、缩短手术时间、减少术中出血量等优越性,在妇科手术中具有应用价值。
[Objective] To explore the application of Ligasure in laparoscopic assisted vaginal hysterectomy. [Methods] A retrospective analysis of 60 cases of laparoscopic-assisted vaginal hysterectomy performed by Taizhou Municipal Hospital from June 2008 to June 2010 was performed. The control group was selected from the same group of surgeons using bipolar coagulation and traditional Laparoscopic assisted vaginal hysterectomy cases were performed. Observation of operation time, intraoperative blood loss, postoperative recovery and so on. [Results] The Ligasure group had less operation time and intraoperative blood loss than the control group, no intraoperative side injury and serious postoperative complications. [Conclusion] Ligasure assisted laparoscopic assisted vaginal hysterectomy has the advantages of simple operation, shortened operation time and less intraoperative blood loss, which is of value in gynecological surgery.