微波止血分离器在大腿软组织肉瘤(直径>10cm)切除术中的应用效果

摘要

目的 探讨直径>10 cm大腿深部软组织肉瘤切除术中应用微波止血分离器的有效性和可行性. 方法 2009年1月~2014年8月,行大腿深部软组织肉瘤切除术33例,肿瘤直径10~37 cm. 2012年12月前15例使用高频电刀(电刀组) ,2013年1月后18例使用微波止血分离器(微波组). 比较2组术中出血量、手术时间、输血例数、住院时间和术后引流量. 结果 与电刀组相比,微波组术中出血量明显减少[(175.0 ±129.8) ml vs.(356.7 ±238.2) ml, t=-2.645, P=0.015]. 电刀组3例因术中出血较多,分别输注少浆血200、400和400 ml,微波组无一例输血. 2组手术时间、住院时间和术后引流量无显著性差异( P>0.05). 结论 微波止血分离器在大腿深部软组织肉瘤切除术中具有良好的应用价值,可以明显减少术中出血量,避免输血.%Objective To explore the effectiveness and feasibility of microwave Hesetor in resection of soft tissue sarcoma of deep thigh. Methods From January 2009 to August 2014, 33 patients underwent tumor resection of soft tissue sarcoma of deep thigh (10-37 cm in diameter).The high frequency electroscalpel was used in 15 cases before December 2012 (electroscalpel group) whereas the microwave Hesetor was used in 18 cases after January 2013 ( microwave group) .The intraoperative blood loss, operation time, transfusion proportion, length of hospital stay and postoperative drainage volume were compared between the two groups. Results The intraoperative blood loss was significantly decreased in the microwave Hesetor group as compared with that in the electroscalpel group [(175.0 ±129.8) ml vs.(356.7 ±238.2) ml, t=-2.645, P=0.015].Three patients in the electroscalpel group were given blood transfusion of 200 ml, 400 ml and 400 ml, respectively, due to a massive intraoperative hemorrhage, while none in the microwave group required blood transfusion.There was no statistical difference between the two groups regarding to the operation time, length of hospital stay and postoperative drainage volume (P>0.05). Conclusion Microwave Hesetor is of great value in the resection of soft tissue sarcoma of thigh for significantly reducing intraoperative bleeding and obviating blood transfusion.