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Clinical Analysis of Plasma Bipolar Resection for the Application in Endometrial Resection

Author: SongZhenXia
Tutor: XuWei
School: Jilin University
Course: Clinical
Keywords: The bipolar plasma power cut Endometrial resection Security Effectiveness of
CLC: R713.42
Type: Master's thesis
Year: 2010
Downloads: 30
Quote: 1
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Abstract


Objective: To investigate transurethral bipolar plasma technology endometrial resection and advantages, to further promote the bipolar plasma electrosurgical excision procedure in clinical applications. Methods: January 2009 to September endometrial resection in our hospital gynecology dysfunctional uterine bleeding, endometrial polyps and other diseases admitted to the hospital surgery patients were randomly divided into two groups, hysteroscopic bipolar plasma 20 patients of treatment as the experimental group, hysteroscopic monopolar endometrial resection in the treatment of 30 patients as a control group. All patients were confirmed by hysteroscopy and endometrial biopsy to exclude endometrial malignant lesions. B-mode ultrasound under the supervision of the application of bipolar plasma hysteroscopy and unipolar hysteroscopy endometrial resection, electrosurgical excision procedure performed by the same surgeon surgical operation, to compare the two groups of patients and postoperative that the two groups of patients in the operative time, blood loss, intraoperative uterine distention liquid dosage, surgical complications, postoperative follow-up vaginal bleeding, draining and treatment effects were statistically analyzed; observed bipolar plasma resectoscope resection B-care ultrasonographic changes in the process of endometrial venous blood contrast surgery, postoperative body ion changes. Results: 1. Bipolar group in operative time, blood loss, uterine distention fluid volume were lower than the unipolar group. Bipolar transurethral resection group and monopolar TURP group of 50 patients did not occur uterine perforation, air embolism the bipolar TURP syndrome group, unipolar group TURP syndrome, but the total The observed number of cases was small, needs further study. 3 bipolar transurethral resection group was ion compared with preoperative ion, blood Na, Cl-, Ca2 no significant change after surgery than before surgery; changes in blood K, but still in the normal range, bipolar plasma cutting system can maintain the electrolyte balance. 4.B sonographic bipolar TURP group endometrial cutting all cases myometrium \Monopolar electrode B metaminder image compared to, bipolar transurethral echo band of light spot density, wide range, a rapid, this phenomenon shows that the implementation of bipolar transurethral surgery, intraoperative ultrasound care difficult; bipolar transurethral vaporization intensity may increase the risk of air embolism in patients. 5 postoperative follow-up: 1 month follow-up, bipolar TURP group of vaginal bleeding after drain in the number of days is less than the monopolar TURP group. 6-month follow-up was no significant difference in patient outcomes, bipolar endometrial ablation with unipolar endometrial resection on total efficiency. Conclusions: 1. Bipolar plasma endometrial resection with fast, safe and effective features. The Compared with unipolar endometrial resection, intraoperative blood loss, shorter operative time, uterine distention fluid with less, a low incidence of complications, treatment worthy of further promotion. 2.B ultrasound the bipolar plasma endometrial resection the guardianship image more complex. . Transurethral bipolar plasma system to maintain electrolyte balance in patients with endometrial resection, to prevent the occurrence of water intoxication, a strong competitive advantage. 4 the bipolar plasma transurethral resection the endometrial process transurethral power, vaporization, surgery should pay attention to the prevention of air embolism.

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CLC: > Medicine, health > Obstetrics and Gynaecology > Gynecological surgery > Cervical and uterine surgery > Hysterectomy
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