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目的 :探讨超声刀在腹腔镜下子宫切除术中应用价值。方法 :本文选择子宫良性病变 72例在腹腔镜下 ,应用超声刀完成标准鞘膜内SEMM式子宫切除术 (CISH)。术中对超声刀分离、止血、切割功能研究 ,并对手术操作时间、术中出血统计及术后情况观察。结果 :所有病例全部顺利完成手术 ,无 1例中转开腹。手术操作时间平均 (82 .2 4± 2 4 .0 6 )min ,术中出血平均 (83.33± 2 0 .13)ml,切除的子宫组织重量 (2 31.0 5± 31.5 0 )g ,所有病例术后随访均无不良反应。结论 :腹腔镜下标准鞘膜内SEMM式子宫切除术 (CISH) ,具有组织损伤小、切割速度快、手术视野清晰、安全等优点 ,可替代普通电凝术。超声刀具有良好的止血效果 ,可广泛应用于妇科各种手术。
Objective: To investigate the value of ultrasonic knife in laparoscopic hysterectomy. Methods: Seventy two cases of benign uterine disease were selected under laparoscopy. Standard intramedullary SEMM hysterectomy (CISH) was performed with ultrasonic scalpel. Intraoperative ultrasound knife separation, hemostasis, cutting function, and operation time, intraoperative bleeding statistics and postoperative observation. Results: All the cases were successfully completed surgery, no case of conversion to laparotomy. The average operation time was (82.24 ± 2.04.06) min, the intraoperative bleeding was (83.33 ± 2.03) ml and the excised uterine tissue was (2 31.0 5 ± 31.5 0) g. All cases After follow-up no adverse reactions. Conclusion: The standard intramuscular hysteroscopic (SEM) hysterectomy (CISH) with laparoscopic surgery has the advantages of less tissue damage, faster cutting speed, clear operation and clear vision, and safety. It can replace common electrocoagulation. Ultrasound knife has a good hemostatic effect, can be widely used in gynecological surgery.