中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
34期
5561-5565
,共5页
生物材料%材料相容性%可吸收结扎钉%可降解材料%可吸收材料%腹腔镜下子宫全切术%住院时间%并发症
生物材料%材料相容性%可吸收結扎釘%可降解材料%可吸收材料%腹腔鏡下子宮全切術%住院時間%併髮癥
생물재료%재료상용성%가흡수결찰정%가강해재료%가흡수재료%복강경하자궁전절술%주원시간%병발증
biocompatible materials%absorbable implants%postoperative complications
背景：以往在腹部手术及妇产科手术中常用的金属钛夹对血管组织损坏很大，过度夹闭可引起血管切割，MRI和CT检查有伪影和偏转，而且其生物相容性也不够理想，增加了局部炎性反应、瘢痕形成等风险。<br> 目的：观察腹腔镜下子宫全切术中应用可吸收结扎钉夹的实际疗效，评价其临床应用价值。<br> 方法：选择98例行腹腔镜下子宫全切患者，随机均分为2组，观察组49例患者用强生可吸收结扎钉夹夹闭子宫动脉后，完全切除子宫；对照组采用常规金属钛夹夹闭子宫动脉。记录并比较两组患者住院时间及术后并发症。<br> 结果与结论：腹腔镜下子宫全切术中应用可吸收结扎钉夹，显著缩短了住院时间，且术后疼痛、粘连、盆腔积液、发热等并发症明显减少(P <0.05)，此外，两组患者术后均未发生感染，甲级愈合率组间无显著差异(P >0.05)。这一结果提示生物相容性更好的可吸收结扎钉夹有助于减轻组织反应，促进受创组织的修复，效果显著，安全可靠。
揹景：以往在腹部手術及婦產科手術中常用的金屬鈦夾對血管組織損壞很大，過度夾閉可引起血管切割，MRI和CT檢查有偽影和偏轉，而且其生物相容性也不夠理想，增加瞭跼部炎性反應、瘢痕形成等風險。<br> 目的：觀察腹腔鏡下子宮全切術中應用可吸收結扎釘夾的實際療效，評價其臨床應用價值。<br> 方法：選擇98例行腹腔鏡下子宮全切患者，隨機均分為2組，觀察組49例患者用彊生可吸收結扎釘夾夾閉子宮動脈後，完全切除子宮；對照組採用常規金屬鈦夾夾閉子宮動脈。記錄併比較兩組患者住院時間及術後併髮癥。<br> 結果與結論：腹腔鏡下子宮全切術中應用可吸收結扎釘夾，顯著縮短瞭住院時間，且術後疼痛、粘連、盆腔積液、髮熱等併髮癥明顯減少(P <0.05)，此外，兩組患者術後均未髮生感染，甲級愈閤率組間無顯著差異(P >0.05)。這一結果提示生物相容性更好的可吸收結扎釘夾有助于減輕組織反應，促進受創組織的脩複，效果顯著，安全可靠。
배경：이왕재복부수술급부산과수술중상용적금속태협대혈관조직손배흔대，과도협폐가인기혈관절할，MRI화CT검사유위영화편전，이차기생물상용성야불구이상，증가료국부염성반응、반흔형성등풍험。<br> 목적：관찰복강경하자궁전절술중응용가흡수결찰정협적실제료효，평개기림상응용개치。<br> 방법：선택98례행복강경하자궁전절환자，수궤균분위2조，관찰조49례환자용강생가흡수결찰정협협폐자궁동맥후，완전절제자궁；대조조채용상규금속태협협폐자궁동맥。기록병비교량조환자주원시간급술후병발증。<br> 결과여결론：복강경하자궁전절술중응용가흡수결찰정협，현저축단료주원시간，차술후동통、점련、분강적액、발열등병발증명현감소(P <0.05)，차외，량조환자술후균미발생감염，갑급유합솔조간무현저차이(P >0.05)。저일결과제시생물상용성경호적가흡수결찰정협유조우감경조직반응，촉진수창조직적수복，효과현저，안전가고。
BACKGROUND:Titanium clip, commonly used in abdominal surgery and obstetrics and gynecology surgery, <br> has a great damage to the vascular tissue, and its excessive clipping can cut off the vessel and produce artifacts and deflection MRI on MRI and CT scan. In addition, its biocompatibility is not wel that increases the risks for <br> local inflammatory response and scarring. <br> OBJECTIVE: To observe the clinical efficacy of absorbable ligating clip in laparoscopic hysterectomy and to evaluate its clinical value. <br> METHODS: Ninety-eight patients undergoing laparoscopic hysterectomy were randomly divided into two groups: 49 patients in the observation group were subjected to occlusion of the uterine artery by a Johnson absorbable ligating chip and then complete removal of the uterus; 49 patients in the control group were subjected to occlusion of the uterine artery with a titanium clip. Hospital stay and postoperative complications were recorded and <br> analyzed between the two groups. <br> RESULTS AND CONCLUSION: The use of absorbable ligating clip in laparoscopic hysterectomy significantly shortened the hospital stay, and postoperative pain, adhesions, pelvic fluid, fever and other complications were significantly reduced (P< 0.05). In addition, no postoperative infection occurred in the two groups and there was no significant difference in the class A healing rate between the two groups (P > 0.05). The results suggest that absorbable ligating clip with better biocompatibility can help to reduce tissue reactions and promote tissue repair, which is characterized as effective, safe and reliable.
