中国病理生理杂志2011，Vol.27Issue(9)：1836-1838,1843,4.DOI:10.3969/j.issn.1000-4718.2011.09.035
腹腔镜子宫切除术单极电凝对机体电解质及子宫超微结构的影响
Effects of monopolar electrocoagulation on electrolytes and uterine ultrastructure in patients with laparoscopically hysterectomy
韩玉英 1闫彩平 2祝育德 2邝国超 3邝爱华3
作者信息
- 1. 暨南大学第一临床医学院妇产科,广东,广州,510630
- 2. 暨南大学第三附属医院妇科
- 3. 珠海市第二人民医院妇科,广东,珠海,519000
- 折叠
摘要
Abstract
AIM: To investigate the effects of monopolar electrocoagulation on the changes of electrolytes and uterine ultrastructure in the patients with laparoscopically hysterectomy.METHODS: Sixty patients, who accepted laparoscopically hysterectomy in the Third Affiliated Hospital of Jinan University from December 2009 to December 2010, were selected in the study and divided into 2 groups by the different hemostasis methods.Thirty patients were in monopolar electrocoagulation group and another 30 patients were in Ligasure group, the plasma concentrations of electrolytes ( potassium, sodium, chlorine and calcium ) were measured before operation, during operation, 24 h and 48 h after operation.The uteruses from 5 patients in each group were collected and the dissections between uterine horn and fallopian tube were prepared for observations under light microscope and transmission electron microscope.RESULTS: Compared to the levels before operation, the concentrations of plasm potassium in all patients were increased during operation, and the plasm sodium was not changed due to the supplement during and after operation, but the plasm chlorine and calcium were decreased.The electrolyte levels came to normal 24 h and 48 h after operation.Comparing the difference between 2 groups, no statistical significance of electrolyte concentrations was observed.Under transmission electron microscope, breakage of the cell membrane, expansion of mitochondria, pyknosis of chromation and karyorrhexis were also observed.CONCLUSION: The pathological changes exist under transmission electron microscope, although no change of the tissues in the place 10 mm far away from monopolar electrocoagulation is found under light microscope.关键词
腹腔镜/单极电凝/Ligasure/电解质/超微结构Key words
Laparoscopes/ Monopolar electrocoagulation/ Ligasure/ Electrolytes/ Ultrastructure分类
医药卫生引用本文复制引用
韩玉英,闫彩平,祝育德,邝国超,邝爱华..腹腔镜子宫切除术单极电凝对机体电解质及子宫超微结构的影响[J].中国病理生理杂志,2011,27(9):1836-1838,1843,4.
