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目的探讨高频电刀在腹腔镜下宫颈癌手术中的应用价值。方法河北医科大学第四医院妇科于2006年11月至2015年8月应用高频电刀和超声刀行腹腔镜下根治性子宫切除+盆腔淋巴结切除及(或)腹主动脉旁淋巴结切除共530例,对比分析两组各项手术指标以及并发症之间的差异。结果两种手术器械均能顺利完成手术,两组术中淋巴结切除时间、淋巴结切除个数、根治性子宫切除时间、术中出血量、术后肛门排气时间、住院天数、术后拔除尿管时间、术后拔除引流管时间等差异均无统计学意义(P>0.05)。两组血管损伤、输尿管损伤、膀胱损伤、肠道损伤、术后肠梗阻、淋巴囊肿等并发症比较差异均无统计学意义(P>0.05)。结论应用高频电刀行腹腔镜下根治性子宫切除+盆腔淋巴结切除及(或)腹主动脉旁淋巴结切除能达到同超声刀相同的手术效果,具有一定临床应用价值。
Objective To investigate the value of high frequency electric knife in laparoscopic surgery of cervical cancer. Methods The Fourth Hospital of Hebei Medical University, gynecology in November 2006 to August 2015 using high-frequency electric knife and ultrasound laparoscopic radical hysterectomy + pelvic lymph node dissection and / or para-aortic lymph node resection a total of 530 Cases, comparative analysis of the two groups of surgical indicators and the differences between the complications. Results Both of the two surgical instruments successfully completed the operation. There were two groups of lymph node resection time, the number of lymph node resection, radical hysterectomy, intraoperative blood loss, postoperative anal exhaust time, hospitalization days, postoperative catheter removal There was no significant difference in time, time of postoperative drainage of drainage tube (P> 0.05). There were no significant differences in the complication of vascular injury, ureteral injury, bladder injury, intestinal injury, postoperative intestinal obstruction, lymphatic cyst between the two groups (P> 0.05). Conclusion The application of high-frequency electrosurgical laparoscopic radical hysterectomy + pelvic lymph node dissection and / or para-aortic lymph node dissection can achieve the same surgical results with the ultrasonic knife, has some clinical value.