现代妇产科进展2017，Vol.26Issue(6)：431-433,3.DOI:10.13283/j.cnki.xdfckjz.2017.06.030
腹腔镜电外科器械对阴道残端组织热损伤的实验研究
The study of laparoscopic electrosurgical instruments on the thermal effect of vaginal stump tissues
摘要
Abstract
Objective:To study the thermal damage of human vaginal stump tissues with monopoly electrocoagulation,bipolar electrocoagulation and ultrasound knife in total laparoscopic hysterectomy(TLH),in order to choose electeosurgery equipments wisely in gynecological laparoscopic surgery.Methods:Radical hysterectomy were carried out in patients with carcinoma of endometrium.A total of 60 cases of vaginal stump tissues were performed separately monopoly electrocoagulation,bipolar electrocoagulation and ultrasound knife.And the differences of the thermal damage width of vaginal stump tissues were detected.Results:The thermal damage width with monopoly electrocoagulation[(3.1197±0.5825)mm]was smaller than the bipolar electrocoagulation[(4.1953±0.6805)mm],but grater than the ultrasound knife[(2.6460±0.6192)mm].There were significant differences among them (F=47.842,P=0.000).There was significant difference among the three groups respectively (P=0.001).Conclusion:The thermal damage width with bipolar electrocoagulation was the largest and the least with ultrasound knife.It is necessary to choose the laparoscopic electrosurgical reasonably to avoid side-injury during cutting vaginal wall in TLH.关键词
热损伤/电外科/腹腔镜/功率Key words
Thermal damage/Electrosurgery/Laparoscope/Power分类
医药卫生引用本文复制引用
梁军,邢慧敏,吴小华,杨波..腹腔镜电外科器械对阴道残端组织热损伤的实验研究[J].现代妇产科进展,2017,26(6):431-433,3.基金项目
河北省卫生厅指定课题(No:20120618) （No:20120618）
