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目的:探讨Ligasure(血管速扎闭合系统)在非脱垂阴式子宫切除术中的应用价值,提高手术水平。方法:2007年1月～2010年11月对91例非脱垂子宫患者采用Ligasure阴式子宫切除术作为研究组,随机选择同期以传统缝合进行阴式子宫全切术91例作为对照组,比较两组手术时间、术中出血量及术后恢复情况。结果:研究组手术时间为(68.27±29.07)min,对照组手术时间为(81.62±25.40)min;研究组术中出血量为(85.10±63.43)ml,对照组为(162.46±101.28)ml;研究组术后住院时间为(5.03±0.47)天,对照组术后住院时间为(7.23±0.94)天;术后引流量研究组为(60.25±43.34)ml;对照组为(100.53±72.09)ml,术后病率研究组1例,对照组7例。结论:在非脱垂阴式子宫切除术中应用Ligasure降低了手术难度,使手术步骤简化,手术时间缩短,术中出血量减少,术后并发症少,住院时间缩短,达到了微创的目的。
Objective: To explore the value of Ligasure in non-prolapsed vaginal hysterectomy and to improve the operative level. Methods: From January 2007 to November 2010, 91 patients with non-prolapsed uterus were treated with Ligasure vaginal hysterectomy as the research group. Ninety-one cases of vaginal hysterectomy were randomly selected as the control group during the same period. Two groups of operation time, blood loss and postoperative recovery. Results The operation time was (68.27 ± 29.07) min in the study group and (81.62 ± 25.40) min in the control group. The bleeding volume in the study group was (85.10 ± 63.43) ml and that in the control group was (162.46 ± 101.28) The postoperative hospital stay was (5.03 ± 0.47) days in the study group and (7.23 ± 0.94) days in the control group. The postoperative drainage volume was (60.25 ± 43.34) ml in the study group and (100.53 ± 72.09) ml, 1 case of postoperative morbidity and 7 cases of control. Conclusion: The application of Ligasure in non-prolapse vaginal hysterectomy reduces the operation difficulty, simplifies the procedure, shortens the operation time, reduces the intraoperative blood loss, reduces the postoperative complications and shortens the hospitalization time, and achieves the purpose of minimally invasive surgery .