超声刀在内镜隆乳术中的运用

Application of Uitracisioni-Harmonic scalpel in endoscopic breast augmentation

摘要:

探讨超声刀在内镜隆乳术中的实用性及优缺点。方法 选择2018年8月－2019年1月内镜下使用超声刀代替电钩行假体隆乳术的患者42例为实验组，对照组采用病例对照研究的方法选取采用传统内镜下假体隆乳术的患者42例。结果 术后患者全部顺利恢复，无继发出血及包膜挛缩等并发症发生，实验组手术时间较对照组短，差异有统计学意义（P <0.05）；实验组出血量较对照组少，差异有统计学意义（P <0.05）。结论 超声刀凝血功能强，无电流通过人体，使内镜下组织的分离及双平面的处理更为简单和安全，能缩短手术时间，提高手术效率，同时减少术中出血量，值得临床推广使用。

Abstract:

To explore the practicability, advantages and disadvantages of ultrasound scalpel in endoscopic breast augmentation. Methods 42 cases of breast augmentation with ultrasound scalpel instead of electric hook under endoscope from August 2018 to January 2019 were selected as experimental group. 42 cases of breast augmentation with traditional endoscope were randomly selected as control group by case-control study. Results All these patients recovered smoothly after operation, no complications such as secondary bleeding and capsular contracture occurred. The operation time of the experimental group was shorter than that of the control group (P < 0.05), and the amount of bleeding in the experimental group was less than that of the control group (P < 0.05). Conclusion Ultrasound scalpel has strong coagulation function and no current passing through human body, which makes the separation of tissue under endoscope and the treatment of double planes simpler and safer, reduces the operation time, improves the operation efficiency, and reduces the amount of bleeding during operation. It is worthy of clinical promotion.