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目的比较超声刀及高频电刀在子宫颈癌手术中使用的优缺点。方法将2011年1月-2015年11月收治的126例子宫颈癌Ⅰ期患者随机分为超声刀组和高频电刀组,每组各63例。对两组患者在手术时间、术中出血量、淋巴结检出数量、手术费用等方面进行比较。结果 126例患者均顺利完成手术。手术时间:超声刀组(202.06±11.67)min,高频电刀组(223.48±18.01)min,差异有统计学意义(P<0.001);术中出血量:超声刀组(373.97±27.95)m L,高频电刀组(458.16±33.18)m L,差异有统计学意义(P<0.001);手术费用:超声刀组(4 171.43±276.46)元,高频电刀组(3 101.54±258.59)元,差异有统计学意义(P<0.001);淋巴结检出数量:超声刀组(10.38±2.43)枚,高频电刀组(9.76±2.61)枚,差异无统计学意义(P=0.172)。结论在子宫颈癌手术中运用超声刀能有效缩短手术时间,减少手术出血量,但不能显著增加淋巴结检出数量,而且明显增加了手术费用,给患者增加了经济负担。
Objective To compare the advantages and disadvantages of ultrasonic scalpel and high-frequency electric knife in the use of cervical cancer surgery. Methods One hundred and sixty-six patients with stage Ⅰ cervical cancer admitted to our hospital from January 2011 to November 2015 were randomly divided into ultrasonic knife group and high-frequency knife group, 63 cases in each group. Two groups of patients in the operation time, blood loss, the number of lymph nodes detected, the cost of surgery and other aspects were compared. Results 126 patients completed the operation successfully. The operation time was 202.06 ± 11.67 min in the ultrasonic knife group and 223.48 ± 18.01 min in the high frequency electric knife group, with significant difference (P <0.001). The intraoperative blood loss was (373.97 ± 27.95) m (P <0.001). The cost of the surgery group was 4 171.43 ± 276.46 yuan, while that in the high-frequency group (3 101.54 ± 258.59) was significantly higher than that in the high-frequency group (458.16 ± 33.18) m L ), The difference was statistically significant (P <0.001); the number of lymph node detection: ultrasonic knife group (10.38 ± 2.43) pieces, high frequency electric knife group (9.76 ± 2.61) pieces, the difference was not statistically significant (P = 0.172 ). Conclusion The application of ultrasonic knife in cervical cancer surgery can shorten the operation time and reduce the amount of surgical bleeding, but can not significantly increase the number of lymph nodes detected, and significantly increase the cost of surgery, an increase of economic burden on patients.