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目的探讨经腹宫颈癌根治术中使用Ligasure处理阴道断端的效果。方法回顾性分析35例在经腹宫颈癌根治术中采用Ligasure直接夹闭、切下阴道的患者及由同一医疗组完成的47例传统手术器械处理阴道患者的临床资料。比较两组患者平均手术时间、术中出血量、术后白细胞恢复正常时间、术后平均住院天数、术后阴道残端出血、阴道残端肉芽组织生长情况。结果应用Ligasure夹闭阴道组平均手术时间140.5min,处理阴道断端时间1.4min,术中出血量330.4ml,术后白细胞恢复正常时间2.6d,术后住院天数8.2d,术后2个月无阴道残端肉芽形成;传统组手术时间190.8min,处理阴道断端时间16.6min,术中出血量560.2ml,术后白细胞恢复正常时间4.3d,术后住院天数10.6d,术后2个月19例阴道残端肉芽形成,两组比较均有统计学差异(P<0.05)。结论宫颈癌根治术中应用Ligasure直接夹闭阴道简化了操作步骤,安全、可靠。
Objective To investigate the effect of Ligasure treatment of vaginal stumps in radical operation of transabdominal cervical cancer. Methods A retrospective analysis of 35 cases of vaginal cervical cancer radical mastectomy using Ligasure direct clipping, vaginal incision and completed by the same medical group 47 cases of traditional surgical instruments to treat vaginal patients clinical data. The average operation time, intraoperative blood loss, postoperative leukocyte recovery time, postoperative average length of stay, postoperative vaginal bleeding, residual granulation tissue growth were compared between the two groups. Results The average operation time of Ligasure group was 140.5min, the duration of vaginal septum was 1.4min, the volume of intraoperative blood loss was 330.4ml, the time of postoperative leukocyte recovery was 2.6d, the length of postoperative hospital stay was 8.2d, and the postoperative 2 months Vaginal stump granulation; the traditional group operation time 190.8min, vaginal end time 16.6min, intraoperative blood loss 560.2ml, postoperative leukocyte recovery time 4.3d, postoperative hospital stay 10.6d, after 2 months 19 Cases of vaginal stump granulation, the two groups were statistically significant (P <0.05). Conclusion The application of Ligasure in the radical mastectomy for cervical cancer simplifies the operation procedure by directly clamping the vagina, which is safe and reliable.