Dubuisson J, Golfier F, Massoud M, Benchaib M, Bryssine B, Raudrant D
Service de gynécologie obstétrique, hôpital Hôtel-Dieu, 61 quai Jules-Courmont, Lyon cedex, France.
J Gynecol Obstet Biol Reprod (Paris). 2008 Feb;37(1):82-7. doi: 10.1016/j.jgyn.2007.10.002.
To compare ligature by electrofusion versus sutures in the practice of vaginal hysterectomy.
This is a retrospective study on 96 patients completed over a period of 47 months. Patients were allocated into two groups: the electrofusion "suture-free" group (n=54) and the "suture" control group (n=42). Designed-end points were operating time, postoperative pain, duration of postoperative hospitalization and perioperative complications.
In the electrofusion group, the operating time was significantly reduced (51.3+/-22.6 min versus 67.6+/-20.1 min) as well as the reported postoperative pain (based on the visual analog scale - VAS) (1.9+/-2.0 versus 3.5+/-2.3). The average morphine consumption rate and the timing of postoperative morphine administration were lower in the electrofusion group (22.4+/-31.0mg versus 45.4+/-51.3 mg and 22.4+/-13.4 h versus 29.4+/-18.8 h, respectively). Moreover, in the electrofusion group there was less need for additional analgesics (1.9+/-2.0 versus 3.5+/-2.3) and the hospital-stay was shorter (4.2+/-1.3 days versus 5.0+/-1.0 days). There was no significant difference between the two groups in regard to perioperative complications.
The use of electrofusion in vaginal hysterectomy appears to be a reliable ligation technique which reduces significantly the operating time, the postoperative pain and the length of postoperative hospitalization.
比较在阴道子宫切除术中使用电融合结扎与缝合的效果。
这是一项回顾性研究，研究对象为在47个月内完成手术的96例患者。患者被分为两组：电融合“免缝合”组（n = 54）和“缝合”对照组（n = 42）。设定的终点指标为手术时间、术后疼痛、术后住院时间和围手术期并发症。
电融合组的手术时间显著缩短（51.3±22.6分钟 vs 67.6±20.1分钟），术后疼痛（基于视觉模拟评分法 - VAS）也明显减轻（1.9±2.0 vs 3.5±2.3）。电融合组的平均吗啡消耗率和术后吗啡给药时间更低（分别为22.4±31.0mg vs 45.4±51.3mg以及22.4±13.4小时 vs 29.4±18.8小时）。此外，电融合组对额外镇痛药物的需求更少（1.9±2.0 vs 3.5±2.3），住院时间更短（4.2±1.3天 vs 5.0±1.0天）。两组在围手术期并发症方面无显著差异。
在阴道子宫切除术中使用电融合似乎是一种可靠的结扎技术，可显著减少手术时间、术后疼痛和术后住院时长。
