- 期刊
Comparison of LigaSure Hemorrhoidectomy and Harmonic Scalpel Hemorrhoidectomy
使用血管凝結儀（LigaSure）與協波刀（Harmonic Scalpel）切除痔瘡之比較
摘要
目的 痔瘡切除術後最讓人困擾的是術後的疼痛，因此許多新式的器械被應用在這方面用以解決問題。病人與方法 收集並統計自2011年8月至2012年02月間，第三與第四級痔瘡使用血管凝集儀與協波刀手術各40名的病人進行比較。共80位病人分為兩組，比較使用不同儀器進行痔瘡切除在術後各方面的差別。結果 兩組不論是在術後疼痛、止痛藥使用的劑量與頻率和術後併發症並無明顯統計上的差異。結論 不論使用血管凝結儀（LigaSure）與協波刀（Harmonic Scalpel）進行痔瘡切除手術，皆是安全有效的方法，皆能達到良好的結果。
並列摘要
Purpose. Pain is the most disturbance issue after hemorrhoidectomy. Varies of instrument has been applied and intended to solve this problem. LigaSure and harmonic Scalpel are the most common newly instrument that applied in hemorrhoidectomy. This study would like to compare the outcome of these two instruments.Methods. We reviewed the cases with grade III and IV hemorrhoid who received either LigaSure hemorrhoiectomy or Harmonic Scalpel hemorrhoidectomy from Aug, 2011 to Feb, 2012. Eighty patients were included in this study. Post-operative pain scale and complications were analyzed.Results. Total 80 patient's data were collected and 40 of them received LigaSure hemorrhoiectomy and rest of the 40 patients received Harmonic Scalpel hemorrhoidectomy. The post-operative pain showed no significant difference in both groups as well as the analgesic used or other complication.Conclusion. LigaSure hemorrhoiectomy and Harmonic Scalpel hemorrhoidectomy archived comparable good results with no significant difference in post-operative pain or complication. New hemostatic devices used in hemorrhoidectomy are safe and effective.
延伸閱讀
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