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目的探讨超声刀(ultrasonic harmonic scalpel,UHS)在消化道恶性肿瘤开腹手术中的应用价值。方法回顾性分析2009年10月至2011年10月期间广西壮族自治区人民医院普通外科-小儿外科收治并由同一手术者进行消化道恶性肿瘤开腹手术的186例患者的临床资料,根据接受手术的种类(UHS开腹手术或传统电刀开腹手术)将其分为UHS组(86例)和传统电刀组(100例),比较2组患者的手术切口长度、手术时间、术中出血量、术后3 d引流量、术后住院时间以及住院总费用。结果 UHS组手术切口长度、手术时间、术中出血量以及术后住院时间均短于(少于)传统电刀组(P<0.05);术后3 d引流量和住院总费用2组间比较差异均无统计学意义(P>0.05)。结论将UHS应用于消化道恶性肿瘤开腹手术可获得较好的效果,能提高手术操作的效率,具有很好的应用前景。
Objective To investigate the value of ultrasonic harmonic scalpel (UHS) in laparotomy of gastrointestinal cancer. Methods Retrospectively analyzed the clinical data of 186 patients admitted to General Surgery Department of Pediatric Surgery, People’s Hospital of Guangxi Zhuang Autonomous Region from October 2009 to October 2011 who underwent open surgery of gastrointestinal cancer by the same surgeon. (UHS group (86 cases) and traditional electric knife group (100 cases)). The length of the incision, the operation time, the amount of intraoperative blood loss , Postoperative drainage volume 3 d, postoperative hospital stay and hospitalization costs. Results The length of incision, operation time, intraoperative blood loss and postoperative hospital stay in the UHS group were shorter than those in the conventional electrosurgical group (P <0.05). The drainage volume and total hospitalization cost in the UHS group were significantly lower There was no significant difference (P> 0.05). Conclusion The application of UHS in gastrointestinal malignant tumor laparotomy can obtain better results, which can improve the efficiency of surgical operation and has good application prospect.