[1]黎卫,李志坚.超声刀与高频电刀在腹腔镜肾上腺肿瘤切除术应用中的比较[J].中华腔镜泌尿外科杂志(电子版),2011,(05):408-411.
 LI Wei,LI Zhi-jian.The application of ultrasonic scalpel in laparoscopic adrenalectomy[J].,2011,(05):408-411.
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超声刀与高频电刀在腹腔镜肾上腺肿瘤切除术应用中的比较()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2011年05期
页码:
408-411
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
The application of ultrasonic scalpel in laparoscopic adrenalectomy
作者:
黎卫李志坚
528403广东省中山市人民医院泌尿外科
Author(s):
LI WeiLI Zhi-jian
关键词:
腹腔镜肾上腺切除术肾上腺肿瘤超声刀高频电刀
摘要:
目的 探讨超声刀在腹腔镜肾上腺肿瘤切除术中的应用.方法 腹腔镜下采用高频电 刀和超声刀进行肾上腺肿瘤切除术,对比分析两组各项手术指标(手术时间、术中出血、输血例数、术中血压剧烈波动例数、中转开放例数、术后胃肠道功能恢复时间、术后起床活动时间、引流量、拔管时间、术后住院天数)之间的差别.结果 超声刀组全部顺利完成腹腔镜肾上腺肿瘤切除术,而高频电刀组2例中转开放手术.与高频电刀组比较,超声刀组手术时间明显缩短(62.7±26.5 min VS 90.5±40.3 min),术中出血明显减少(30.8±3.28 ml VS 110.6±25.71 ml),术后排气时间及下床活动时间提前(1.1±0.3 d VS2.O±0.6 d),术后引流量较少(12.6+7.2 ml VS 32.5±6.5),术后住院时间缩短(5.5±2.15 d VS 7.0±2.5 d).术后随访6个月至5年,无肿瘤复发及残余肿瘤,肾上腺疾病临床症状、体征改善.结论 超声刀在腹腔镜肾上腺肿瘤切除术中具有止血确切、术野清晰、热传导低等优点,临床应用安全可靠.

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更新日期/Last Update: 1900-01-01