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目的:探讨等离子刀用于腹腔镜子宫切除术的价值。方法:腹腔镜下分别用超声刀、等离子刀行筋膜内子宫切除术,比较术中出血量、手术时间、术后肛门排气时间、平均住院日。结果:等离子刀组的平均手术时间、术中出血量少于超声刀组(P<0.05)。2组术后肛门排气时间,术后3d最高体温,术后平均住院天数差异均无统计学意义(P>0.05)。结论:等离子刀用于腹腔镜子宫切除术更安全、可靠,值得推广。
Objective: To investigate the value of plasma knife in laparoscopic hysterectomy. Methods: Laparoscopic ultrasound knife, plasma knife were performed intrafascial hysterectomy, intraoperative blood loss, operation time, postoperative anal exhaust time, the average length of stay. Results: The average operation time and blood loss in plasma knife group were less than those in ultrasonic knife group (P <0.05). There was no significant difference in postoperative anal exhaust time, postoperative 3d maximum body temperature and average postoperative hospital stay (P> 0.05). Conclusion: The plasma knife is more safe and reliable for laparoscopic hysterectomy and is worth promoting.