高级检索

结扎速血管闭合切割系统在巨大神经纤维瘤手术中的应用效果

Application of LigaSure vessel sealing system in surgical treatment of giant neurofibroma

  • 摘要:
    目的 探讨LigaSure结扎速血管闭合切割系统(LigaSure vessel sealing system,LVSS)在巨大神经纤维瘤手术中的应用效果。
    方法 选择2013年10月至2020年5月行巨大神经纤维瘤手术的22例患者,其中12例采用常规缝扎电凝止血(传统手术组),10例采用LVSS止血(LigaSure组)。比较两组患者切除瘤体大小、手术时间、术中出血量、术后引流量、术后拔管时间及术后并发症情况。
    结果 LigaSure组术中出血量、术后引流量少于传统手术组,术后拔管时间早于传统手术组(P < 0.05)。两组间切除瘤体大小、手术时间及术前术后第1天血红蛋白差值差异无统计学意义。传统手术组1例术后出现皮下积液,予再次引流后伤口愈合良好;LigaSure组术后无并发症发生。
    结论 LigaSure应用于巨大神经纤维瘤手术安全有效,能简化手术操作,缩短术后恢复时间,值得临床进一步推广。

     

    Abstract:
    Objective To explore the effects of LigaSure vessel sealing system for the surgical treatment of giant neurofibroma.
    Methods From October 2013 to May 2020, 22 patients with giant neurofibroma underwent operation were divided into LigaSure group (n=10) and the traditional method group (n=12). The size of the tumor, duration of the operation, intraoperative blood loss, postoperative drainage fluid, drainage tube removal time, and postoperative complications were compared between the two groups.
    Results Compared with the traditional method group, the intraoperative blood loss and postoperative drainage fluid were less, and drainage tube removal time was earlier in the LigaSure group (P < 0.05). There was no statistical difference in the size of resected tumor, duration of operation, and pre- and post-operative difference of hemoglobin concentration between the two groups. One patient in the traditional method group happended subcutaneous hydrops after the operation, while no patient happended postoperation complication.
    Conclusion LigaSure vessel sealing system could be used safely in surgical treatment of giant neurofibroma, simplify the surgery process, and shorten recovery time.

     

/

返回文章
返回