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目的探讨百克钳在腹腔镜子宫肌瘤挖除术中的止血效果。方法对68例要求保留子宫的子宫肌瘤患者在腹腔镜下进行子宫肌瘤挖除,随机分为百克钳组34例,超声刀组34例(对照组)。结果所有病例均在腹腔镜下完成手术,无中转开腹。两组患者手术时间、术后排气时间、住院天数、术后体温均无差异。出血量百克钳组(51.2±19.4)m l,超声刀组(77.8±23.5)m l,两组比较有统计学意义(P<0.05)。结论腹腔镜下应用百克钳挖除子宫肌瘤,具有止血效果确切,手术时间短,安全性高等优点,值得推广。
Objective To investigate the hemostatic effect of Beike forceps in laparoscopic myomectomy. Methods 68 cases of uterine leiomyoma requiring uterus were excised by laparoscopy in 34 cases of uterine fibroids and 34 cases of ultrasound knife group (control group). Results All cases underwent laparoscopic surgery without conversion to laparotomy. There was no difference in operation time, postoperative exhaust time, hospitalization days and postoperative body temperature between the two groups. Hemorrhagic volume was 100 克 forceps group (51.2 ± 19.4) m l, ultrasound knife group (77.8 ± 23.5) m l, the two groups were statistically significant (P <0.05). Conclusions Laparoscopic application of 100 kgs to remove uterine fibroids, with the exact effect of bleeding, short operative time, high safety, it is worth promoting.