中华生物医学工程杂志
中華生物醫學工程雜誌
중화생물의학공정잡지
CHINESE JOURNAL OF BIOMEDICAL ENGINEERING
2013年
6期
472-475
,共4页
子宫切除术,阴道式%BiClamp%监测,手术中%手术后并发症
子宮切除術,陰道式%BiClamp%鑑測,手術中%手術後併髮癥
자궁절제술,음도식%BiClamp%감측,수술중%수술후병발증
Hysterectomy,vaginal%BiClamp%Monitoring,intraoperative%Postoperative complications
目的 比较两种不同方法进行阴式非脱垂全子宫切除术的术中情况及术后结局,探讨应用BiClamp的有效性.方法 收集2006年6月至2013年6月,在复且大学附属华山医院北院和第二军医大学附属长征医院妇产科进行阴式非脱垂全子宫切除术的100例患者,应用随机数字表法分为两组.试验组54例,应用BiClamp完成手术,对照组46例,由同组手术者以传统手术方法完成.比较两组患者手术时间、出血量、切除子宫质量、术后病(术后24h以后的10d内用口表每日测量4次,体温有2次达到或超过38℃)发生率、术后住院日的差别.结果 试验组手术时间为(36.55±7.25) min,术中出血量为(41.12±2.83)ml,切除子宫质量为(395.49±21.74)g,术后病发生率3.70％(2/54),术后住院日为(3.88±1.22)d.对照组手术时间为(56.93±9.33)min,术中出血量为(104.12±8.48)ml,切除子宫质量为(380.32±18.81)g,术后病发生率8.70％(4/46),术后住院日为(4.05±0.97)d.两组的手术时间、术中出血量和术后病发生率差异均有统计学意义(均P＜0.05),而切除子宫大小和术后住院日差异无统计学意义(均P＞0.05).两组均无严重并发症发生.结论 应用BiClamp能够简化手术步骤,明显缩短手术时间,减少出血,术后恢复快,是具有应用价值的一项技术.
目的 比較兩種不同方法進行陰式非脫垂全子宮切除術的術中情況及術後結跼,探討應用BiClamp的有效性.方法 收集2006年6月至2013年6月,在複且大學附屬華山醫院北院和第二軍醫大學附屬長徵醫院婦產科進行陰式非脫垂全子宮切除術的100例患者,應用隨機數字錶法分為兩組.試驗組54例,應用BiClamp完成手術,對照組46例,由同組手術者以傳統手術方法完成.比較兩組患者手術時間、齣血量、切除子宮質量、術後病(術後24h以後的10d內用口錶每日測量4次,體溫有2次達到或超過38℃)髮生率、術後住院日的差彆.結果 試驗組手術時間為(36.55±7.25) min,術中齣血量為(41.12±2.83)ml,切除子宮質量為(395.49±21.74)g,術後病髮生率3.70％(2/54),術後住院日為(3.88±1.22)d.對照組手術時間為(56.93±9.33)min,術中齣血量為(104.12±8.48)ml,切除子宮質量為(380.32±18.81)g,術後病髮生率8.70％(4/46),術後住院日為(4.05±0.97)d.兩組的手術時間、術中齣血量和術後病髮生率差異均有統計學意義(均P＜0.05),而切除子宮大小和術後住院日差異無統計學意義(均P＞0.05).兩組均無嚴重併髮癥髮生.結論 應用BiClamp能夠簡化手術步驟,明顯縮短手術時間,減少齣血,術後恢複快,是具有應用價值的一項技術.
목적 비교량충불동방법진행음식비탈수전자궁절제술적술중정황급술후결국,탐토응용BiClamp적유효성.방법 수집2006년6월지2013년6월,재복차대학부속화산의원북원화제이군의대학부속장정의원부산과진행음식비탈수전자궁절제술적100례환자,응용수궤수자표법분위량조.시험조54례,응용BiClamp완성수술,대조조46례,유동조수술자이전통수술방법완성.비교량조환자수술시간、출혈량、절제자궁질량、술후병(술후24h이후적10d내용구표매일측량4차,체온유2차체도혹초과38℃)발생솔、술후주원일적차별.결과 시험조수술시간위(36.55±7.25) min,술중출혈량위(41.12±2.83)ml,절제자궁질량위(395.49±21.74)g,술후병발생솔3.70％(2/54),술후주원일위(3.88±1.22)d.대조조수술시간위(56.93±9.33)min,술중출혈량위(104.12±8.48)ml,절제자궁질량위(380.32±18.81)g,술후병발생솔8.70％(4/46),술후주원일위(4.05±0.97)d.량조적수술시간、술중출혈량화술후병발생솔차이균유통계학의의(균P＜0.05),이절제자궁대소화술후주원일차이무통계학의의(균P＞0.05).량조균무엄중병발증발생.결론 응용BiClamp능구간화수술보취,명현축단수술시간,감소출혈,술후회복쾌,시구유응용개치적일항기술.
Objective To compare the procedures and outcomes of two approaches of vaginal hysterectomy for non-prolapsed uterus,and to investigate the efficacy of BiClamp forceps.Methods Between June 2006 and June 2013,100 patients with non-prolapsed uterus who received vaginal hysterectomy in our hospital and Changzheng Hospital of The Second Military Medical University were,by using random number table,randomized to BiClamp group (n=54) and conventional surgery group (n=46).All the operations were performed by the same team of gynecologists.The duration of operation,blood loss,the weight of dissected uterus,postoperative morbidity (2 or more consecutive quarterly measurements within a day using mouth thermometer suggesting the temperature of 38 degrees or greater between day 1 and 10) and postoperative length of hospital stay were compared.Results The BiClamp group yielded a markedly shorter duration of operation [(36.55±7.25) min vs (56.93±9.33)min],reduced blood loss [(41.12±-2.83) ml vs (104.12±8.48)ml] and decreased postoperative morbidity [3.70％ (2/54) vs 8.70％ (4/46)] compared with conventional operation group (all P＜0.05).However,there was no marked difference in the weight of the disected uterus [(395.49±21.74)g vs (380.32± 18.81)g] and the postoperative length of hospital stay [(3.88 ± 1.22)d vs (4.05 ±0.97)d] (both P＞0.05).No severe complications were reported.Conclusion Apart from the simplification of the procedures,the application of BiClamp reduces the operation duration,blood loss of vaginal hysterectomy and is characterized by a shorter time to recovery,and therefore should be considered as a worthwhile technique for future.
