高频消融电极在剖宫产手术中的临床分析

付亮亮+李帅+张雪芹

[摘要] 目的 评价高频消融电极在剖宫产手术中的使用效果。方法 方便選取2017年2—8月该院收治的124例剖宫产患者作为研究对象，随机分为观察组（62例）和对照组（62例）两组。观察组使用高频消融电极（QJ-ZC-40剖宫产专用型号）实施治疗。对照组全程使用手术刀。以切口的感染、脂肪液化、线结反应发生率作为主要评价指标，以手术时间、愈合时间、愈合状况、瘢痕大小作为次要评价指标，评估观察高频消融电极的使用效果。 结果 观察组的切口愈合不良率为0.00%，明显低于对照组22.58%，组间比较差异有统计学意义（P<0.05）。结论 使用高频消融电极手术，可减少术中出血，降低切口愈合不良发生率，并且由于手术切口灼伤范围小，术后瘢痕更微小美观。

[关键词] 高频消融电极；剖宫产；切口愈合。

[中图分类号] R719 [文献标识码] A [文章编号] 1674-0742（2017）12（b）-0079-03

[Abstract] Objective To evaluate the application effect of high frequency ablation electrode in the cesarean section surgery. Methods 124 cases of patients with cesarean section admitted and treated in our hospital from February to August 2017 were convenient selected as the research objects and randomly divided into two groups with 62 cases in each， the observation group used the high frequency ablation electrode（QJ-ZC-40 cesarean section special type）， while the control group adopted the operation knife in the whole course， and he main evaluation indicators were incision infection， fat liquefaction and nodal reaction incidence rates， and the operation time， healing time， healing condition， and scar size were the secondary evaluation indicators， and the application effect of high frequency ablation electrode was evaluated and observed. Results The incision healing adverse rate in the observation group was obviously lower than that in the control group， （0.00% vs 22.58%）， and the differences were statistically significant（P<0.05）. Conclusion The application of high frequency ablation electrode can reduce the intraoperative bleeding， reduce the incidence rate of adverse incision healing， and the postoperative scar is smaller and more beautiful due to small wound range of operative incision.

[Key words] High frequency ablation electrode； Cesarean section； Incision healing

高频电刀自20世纪20年代应用于手术过程至今已经有近百年的历史了。由于高频电刀突出的性能特征，如切割速度快，切口整齐，切割与凝血同时进行，手术视野清晰等优点，应用越来越广泛[1]，现在几乎已经成为手术室的必备。鉴于这些优点，高频电刀在剖宫产中也被大量采用。但是随着科技的发展和进步，以及人们对手术质量要求的提高，传统高频手术电极越来越不适应这一时代要求[2]。高频消融电极的设计思路就是将普通机械手术刀和普通高频手术电极的优点结合起来，并克服它们各自的缺点。该实验采用的高频消融电极是一种全新材质的高频电刀笔，采用航天科技的微创钨针、大功率晶体管、高效可靠的MOS功放电路，多道隔离、调谐、平衡输出回路[3]。与传统电刀比较的突出优势有：5 μm曲率半径的圆锥形针头，使用更锋利，切割更迅速；……