高频电刀；胆系手术；愈合_

高频电刀对胆系手术切口愈合影响的临床观察

http://www.100md.com 《东南国防医药》 2005年第3期

高频电刀；胆系手术；愈合,,]高频电刀；胆系手术；愈合,[摘要],[关键词],1资料与方法,2结果,3讨论,参考文献

     [摘要]目的探讨高频电刀对手术切口愈合的影响。方法随机将98例胆系手术患者分为电刀组(n=37)、电凝组(n=35)、对照组(n=26)，其中，电刀组剖腹时用高频电刀切割组织，并用电凝止血。电凝组用普通手术刀剖腹，用电凝止血。对照组用普通手术刀剖腹，用丝线结扎止血。观察3组患者术后切口愈合的情况。结果电刀组有7例(1892%)、电凝组6例(1714%)、对照组1例(385%)切口愈合延迟。经统计学处理，电刀组与对照组的差异有显著性(χ2=496，P<005)，电凝组与对照组的差异有显著性(χ2=406，P<005)，电刀组和电凝组的差异无显著性(χ2=0066，P>005)。结论高频电刀可使胆系手术切口愈合延迟率明显增加。因此，对胆系手术不宜使用电刀进腹，以免增加切口愈合不良的发生率。

    [关键词]高频电刀；胆系手术；愈合

    Clinical survey of influence of highfrequency electric surgical knives on healing of biliary system incision

    YU Zhilong, XIA Peimin, HAN Yuwan.

    Outpatient Department,Command of Nanjing Military Region, Nanjing 210016，Jiangsu,China

    [Abstract]ObjectiveTo study the influence of highfrequency electric surgical knives on healing of biliary system incision.Methods98 cases underwent biliary system operations were randomly allocated into three groups:electric knife(EK,37 cases),electrocoagulation(EC,35 cases)and control(26 cases).Highfrequency electric surgical knives were used to cut abdominal tissues and electrocoagulation for hemostasis in EK group.Common lancets and electrocoagulation were applied to EC group.Common lancets and tieing silk suture were used in the control group.ResultsThere were delayed wound healing in 7 cases (18.92%) in EK group,6 cases(17.14%)in EC group and 1 cases (3.85%)in the control group.There was a statistically significant difference between EK and the control group(χ2=496 ......

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