摘要
目的 通过随机化对照研究，评价热凝切割刀应用于剖腹术的临床价值。方法 选择上腹部手术患者９０ 例，随机均分为３ 组。Ａ组为热凝切割组，Ｂ组为高频电刀切割组，Ｃ组为普通手术刀切割组。从切皮至进腹为止，采用止血效果、肌肉颤动、组织炭化、术中焦糊气味及烟雾、刀片粘结组织、切口愈合、脂肪液化等指标评价手术效果。结果 Ａ组止血和切口愈合时间与Ｂ 组相比差异无显著性（Ｐ＞０ ．０５），肌肉颤动、组织炭化、组织焦化烟雾污染、皮下脂肪液化等项指标则显著优于Ｂ 组（ Ｐ＜０．０１），且止血功能优于Ｃ组（Ｐ＜ ０．０１） ，其手术创缘较Ｂ组和Ｃ 组整齐。结论 热凝切割术能够明显提高进腹手术质量，减少手术创伤，促进腹部外科手术技术的进步。
Objective\ To evaluate the clinical value of hemostatic scalpel in abdominal surgery. Methods\ Ninety patients undergoing upper abdomen operation were randomly equally divided into 3 groups. Hemostatic scalpel was used in group A, endotherm knife in group B and stainless steel scalpel in group C. The parameters including hemostasis, constriction throb of muscle, charcoalization of tissue, the odor and smoke during the operation, conglutination, cicatrization and fat liquefaction were employed to evaluate the operation effect. Results\ There was no remarkable difference in hemostasis and the stretch of cicatrization between group A and group B ( P >0.05), but the former surpasses the latter in the remaining aspects ( P <0.01). Furthermore, group A excels group C in hemostasis ( P <0.01) and its cut brim is the most regular among the three groups. Conclusion\ Hemostatic scalpel may reduce the inconvenience of the operators and the injury of operation in abdominal surgery so as to improve the quality of operation and be beneficial to the patients.\;
出处
《中华实验外科杂志》
CAS
CSCD
北大核心
1999年第6期529-530,共2页
Chinese Journal of Experimental Surgery
基金
铁道部97 医学科研基金
