新型超声刀在胃癌根治术中的应用

doi:10.3877/cma.j.issn.1674-0793.2009.06.016

中华普通外科学文献(电子版) ›› 2009, Vol. 03 ›› Issue (06) : 510 -512. doi: 10.3877/cma.j.issn.1674-0793.2009.06.016

临床总结

新型超声刀在胃癌根治术中的应用

李正荣¹^,^†(

), 揭志刚¹, 刘逸¹, 谢小平¹

1.330006 南昌大学附属第一医院普外二科

收稿日期:2009-06-15 出版日期:2009-12-01
通信作者: 李正荣

Zhengrong LI^†^,¹(), Zhi-gang JIE¹, Yi LIU¹, Xiao-pin Xie¹

1.Department Ⅱof General Surgery, the First Affiliated Hospital,Nanchang University, Nanchang 330006, China

Received:2009-06-15 Published:2009-12-01
Corresponding author: Zhengrong LI

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目的

探讨新型超声刀在胃癌根治术中使用的效果及技巧。

方法

回顾性分析了使用新型超声刀进行胃癌根治术（超声刀组）与常规胃癌根治手术（常规手术组）进行淋巴结清扫所用手术时间、出血量及术后引流量。

结果

使用新型超声刀进行胃癌淋巴结清扫所用手术时间、术中出血量及术后3 d引流量均明显少于常规手术组，两组淋巴结检出率差异无统计学意义。

结论

在胃癌根治术中用新型超声刀进行淋巴结清扫安全、有效。

Objective

To investigate the clinical value of new type ultrasonically activated scalpel(UAS)in radical resection of gastric carcinoma.

Methods

One hundred and five cases undergoing radical resection of gastric carcinoma were analyzed.They were divided into two groups randomly.Blood loss volume,operating time in lymphadenectomy, drainage volume of first three days after operation were recorded and compared between two groups.

Results

Operating time,blood loss volume,drainage volume of first three days in UAS group were significantly less than those in the conventional procedure group.

Conclusions

Using new type UAS in lymphadenectomy of gastric carcinoma radical resection is a safe and effective surgery procedure.

表1 超声刀组与常规手术组患者的临床资料比较（例）

	超声刀组（49例）	常规手术组（56例）	P值
性别			0.875
男	27	30
女	22	26
中位年龄（岁）	65	61	0.474
≥60	38	40
＜60	11	16
手术方式			0.156
远端胃根治术	40	39
全胃根治术	9	17
TNM分期			0.562
Ⅰ	2	4
Ⅱ	10	15
Ⅲ	32	29
Ⅳ	5	8

表1 超声刀组与常规手术组患者的临床资料比较（例）

	超声刀组（49例）	常规手术组（56例）	P值
性别			0.875
男	27	30
女	22	26
中位年龄（岁）	65	61	0.474
≥60	38	40
＜60	11	16
手术方式			0.156
远端胃根治术	40	39
全胃根治术	9	17
TNM分期			0.562
Ⅰ	2	4
Ⅱ	10	15
Ⅲ	32	29
Ⅳ	5	8

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