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Clinical Observation of Electro-surgical Unit’s Influence on the Heat Injury of Ovarian Tissue under Laparoscopy |
The Traditional Chinese Medicine Hospital of Maoming,Maoming 525000,China |
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Abstract Objective:To study the electro-surgical unit’s clinical influence on the heat injury of ovarian tissue under laparoscope,for reference.Method:150 ovarian tumor patients were involved in the study,and grouped according to the random principle.They were divided into three groups:group of monopolar onopolar electrocoagulation( 50 cases),group of bipolar electrocoagulation( 50 cases),group of electrocoagulation ultrasonic scalpel( 50 cases).The surgical procedures of three groups were compared.Result:Compared the length of surgery under Laparoscopy,length of activities,length of gas passing,length of hospital stays and the usage rate of painkiller of three groups,the differences were not statistically significant( P>0.05). Though the study of the depth and width of the zone of thermal necrosis’s heat injury of ovarian tissue,we concluded that electrocoagulation ultrasonic scalpel imposed the minimum damages,bipolar electrocoagulation the second,and monopolar electrocoagulation the maximum,the differences were statistically significant( P<0.05).Conclusion:The influence on the heat injury of ovarian tissue varies from one to another under different electro-surgical units-electrocoagulation ultrasonic scalpel imposes the minimum damages,bipolar electrocoagulation the second,and monopolar electrocoagulation the maximum,subject to the practical situation of clinical theropy.It would be better if the PK knife which imposes the least damages is used.Sutured hemostasis would be a better choice to reduce the damage of the injury of ovarian tissue and protect the patients’ fertility function of ova production after surgery.
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