摘要
目的探讨国产超声刀在普外科开放手术应用中的有效性及安全性。方法将2008年9月至2010年2月60例行开放手术的患者,随机分为试验组和对照组,各30例。试验组运用国产BBT超声手术系统,对照组运用美国强生超声刀,观察并比较两组患者组织切割时间、血管凝固时间、术中出血量、术后住院天数、术后腹腔引流管引流量等指标。结果试验组和对照组之间术中出血量无明显差异([89.50±27.65)mlvs(95.23±22.95)ml,P=0.298],而且术后住院时间([17.3±8.8)dvs(16.1±9.9)d,P=0.604]及术后腹腔引流([180.6±61.0)mlvs(174.9±44.4)ml,P=0.674]在两组之间差异均无统计学意义;但与对照组相比,试验组的组织切割平均时间([6.95±1.41)svs(4.32±1.11)s,P<0.05]和血管凝固时间([6.00±0.314)svs(2.68±0.123)s,P<0.001]要长。结论国产BBT超声手术系统安全有效,符合临床使用的要求,可以在临床推广运用。
Objective To investigate the satety and the ettectiveness of domestic harmonic scalpel in open general surgical operation. Methods Sixty patients who underwent open surgery from Sep. 2008 to Feb. 2010 were randomly divided into test group （30 cases） and control group （30 cases）. The patients in test group underwent surgery with the aid of domestic BBT harmonic scalpel, and patients in control group with Uhracision harmonic scalpel. The time of dissecting tissues, coagulation time of vessels, blood loss during operation, hospitalization time after operation and postoperative drainage volume in both groups were compared. Results The blood loss had no distinct difference between the two groups[（89.50 ± 27.65）ml vs （95.23 ± 22.95）ml, P=0.298], neither did the hospitalization time [（17.3 ± 8.8）d vs （16.1 ± 9.9）d, P=-0.604] and drainage volume [（180.6 ± 61.0）ml vs （174.9 ± 44.4）ml, P=0.674]. However the time of dissecting tissues in test group was longer than that in control group [（6.95± 1.41）s vs （4.32 ± 1.11）s, P〈0.05], and the coagulation time in test group was also longer than that in control group[（6.00 ± 0.314）s vs （2.68± 0.123）s, P〈0.001]. Conclusion Domestic BBT harmonic scalpel is safe and effective. It can meet the clinical requirements and surely will be promoted in clinical application.
出处
《中华普通外科学文献（电子版）》
2011年第4期30-32,363+366,共3页
Chinese Archives of General Surgery(Electronic Edition)
关键词
超声刀
普外科手术
BBT超声手术系统
Harmonic scalpel
General surgical procedures
BBT harmonic scalpel
