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目的 探讨在妇科腹腔镜手术中使用超声刀止血的效果。方法 选取应用超声刀进行腹腔镜妇科手术共 81例 ,术式包括经阴道腹腔镜辅助全子宫切除术 (LAVH)、腹腔镜下子宫肌瘤剜除术、腹腔镜下附件切除术 ,并与同期应用电凝术或Endo -GIA +电凝术止血的相同术式进行比较。结果 使用超声刀较电凝术及Endo-GIA术中出血量明显减少 (P <0 0 5 ) ,手术时间显著缩短 (P <0 0 5 ) ,无术中及术后并发症。结论 腹腔镜下应用超声刀止血具有缩短手术时间 ,止血效果更佳等优点
Objective To investigate the effect of ultrasonic knife in gynecological laparoscopic surgery. Methods A total of 81 cases of laparoscopic gynecological surgery using ultrasonic scalpel were selected. The procedures included transvaginal laparoscopic total hysterectomy (LAVH), laparoscopic myomectomy, laparoscopic accessory resection, The same procedure of electrocoagulation or Endo-GIA + electrocoagulation was used. Results Compared with electrocoagulation and Endo-GIA, the bleeding volume was significantly reduced (P <0.05), the operation time was significantly shorter (P <0.05), and there was no intraoperative and postoperative complications. Conclusion Laparoscopic application of ultrasonic knife hemostasis has the advantages of shortened operation time and better hemostatic effect