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目的:观察采用超声刀胃癌根治术的临床效果。方法:将接受胃癌根治术42例随机分为观察组23例和对照组19例,观察组术中采用超声刀,对照组采用传统手术方法。观察比较两组的手术时间、术中出血量、清扫淋巴结数目、术后4天总引流量及肠功能恢复时间。结果:观察组肠功能恢复时间显著早于对照组(P<0.01);手术时间、术中出血量和术后4天总引流量显著少于对照组(P<0.01);清扫淋巴结数目两组差异不显著(P>0.05)。结论:采用超声刀有利于减轻术中创伤和促进患者术后恢复。
Objective: To observe the clinical effect of radical mastectomy with ultrasound knife. Methods: Forty-two patients undergoing radical gastrectomy were randomly divided into observation group (n = 23) and control group (n = 19). Ultrasound scalpel was used in the observation group and the control group was treated by conventional surgery. The operation time, intraoperative blood loss, number of lymph nodes dissected, total drainage 4 days after operation and intestinal function recovery time were observed and compared between the two groups. Results: The recovery time of intestinal function in the observation group was significantly earlier than that in the control group (P <0.01). The operation time, intraoperative blood loss and the total drainage volume at 4 days after operation were significantly less than those in the control group (P <0.01) The difference was not significant (P> 0.05). Conclusion: Ultrasound knife is helpful to reduce trauma and promote postoperative recovery.