Kugereranya ibibazo hagati yaya matsinda yombi
| Itsinda (n) | Ishirahamwe ryamazi | Kubara imyenda | Ibice by'ububabare | ikindi | Igipimo cyo kugorana (%) |
| Itsinda ryo kwitegereza (49) | 1 | 0 | 2 | 3 | 12.2 |
| Itsinda rishinzwe kugenzura (48) | 3 | 4 | 5 | 2 | 29.2 |
| X2 | 4.242 | ||||
| p | 0.038 <0.05 |
3. Muganire
Kubaga Laparoscopique byabaye uburyo bwiza bwo kuvura indwara zitandukanye bitewe nibyiza byo gukora neza, igikomere gito, umutekano muke no gukira vuba.Ikoreshwa ryayo mu kuvura indwara zifata umwanda nazo zagize agaciro gakomeye kandi zemewe n’abaganga n’abarwayi.Icyakora, gukoresha clips ya titanium kugirango uhagarike kuva amaraso mugihe cyo kubagwa byongera ibyago byingaruka kandi bikagira ingaruka kumutekano wacyo [3].
Absorbable hemostatic clamp kugirango ikusanyirize ogisijeni cyclohexanone cyangwa ya ogisijeni cyclohexanone - lactide copolymer nkibikoresho, ubu ikoreshwa cyane mubikoresho byo kubaga laparoscopique kubaga hemostatike, ifite hydrophilicite, bityo rero hamwe na histocompatibilité, ikabasha kwifata neza, bityo bikagabanya ingirangingo yigituba cyangwa andi mwobo mu mubiri w'umuntu yangiza [4].Nyamara, ibyinshi mu byinjira byitwa hemostatike byifashishwa mu bikorwa by’ubuvuzi muri iki gihe ni ibikoresho bitumizwa mu mahanga, kandi hari ubushakashatsi buke ku byinjira mu rugo byinjira mu nda, bidafite amakuru akenewe kugira ngo biteze imbere ivuriro [5].Kubwibyo, ubu bushakashatsi bufite agaciro gakomeye kivura.
Ibyavuye muri ubu bushakashatsi byagaragaje ko nta tandukaniro rikomeye ryagize mu mikorere ya hemostatike hagati y’imyanya yo mu rugo yakirwa na clip ya titanium (P> 0.05).Ugereranije numutekano, clip yubushinwa ikurura hemostatike yari nziza cyane kurenza clip ya titanium (P <0.05).Byaragaragaye ko clip ya hemostatike yakirwa mu Bushinwa ifite agaciro gakomeye muri laparoskopi cholecystectomy.Nubwo imiterere yubushakashatsi, tekiniki zo kubaga na hemostatike zigomba kurushaho kunozwa, ntabwo bihindura agaciro kayo kayobora.Abakozi bo mu buvuzi bitabiriye ubwo bushakashatsi bahawe ku bushake, kandi nta tandukaniro rikomeye ryagaragaye mu rwego rwa tekinike n'uburambe bwabo.Uburyo bwo kubaga, anesteziya, gucunga ibibazo no gukoresha ibiyobyabwenge byakorwaga buri gihe kandi bigakorwa kugirango bigabanye ingaruka zibi bintu mubisubizo byubushakashatsi.Kubwibyo, amakuru nimyanzuro yubu bushakashatsi ni siyansi kandi ifite ishingiro.
Mu gusoza, clip yo mu rugo yakira ikoreshwa muri laparoskopi cholecystectomy ifite ibyiza byingaruka nziza ya hemostatike n'umutekano muke, bikaba bifite umutekano kandi birashoboka gukoreshwa mumavuriro kandi bifite agaciro kihariye ko kuzamurwa.
Reba:
[1] Yan Wei, DENG Chunmei.Laparoscopic cholecystectomy hamwe numuyoboro umwe gusa ushobora kwinjizwa hamwe nuyoboro wa cystic na arterique: gusesengura imanza 146 [J].Ubuvuzi nubuzima bugezweho, 2013,29 (17): 2643-2644.
[2] Qiao Zhiming, QIAN Weifeng.Isesengura ry'impamvu no gucunga amaraso mugihe cya laparoskopi cholecystectomy [J].Ikinyamakuru cyo kubaga mu Bushinwa, 2013,19 (06): 42-43.
[3] Hu Wen, Li Yuanliang, Tan Linlin.Laparoscopic cholecystectomy hamwe na clamp ya titanium yasimbujwe umugozi winjira [J].Ikinyamakuru cyo mu Bushinwa cyo kubaga byoroheje, 2010,25 (05): 326-329.
[4] Impinduka-Ping, YangJin-Lin, Cao, Ren-Rong.Ikinyamakuru cya Journaloflaparoendoscopic & advancedsurgicaltechniques PartA, 2014, 24 (02): 72-76.
[5] Gu Wei, CAI Bing, WU Mingyu.Gukoresha ivuriro rya HEM-O-1OK clip hamwe na clip yakirwa muri laparoskopi cholecystectomy [J].Ikinyamakuru cyo kubaga hepatobiliary na pancreatic kubaga, 2015,27 (03): 168-170.
Igihe cyo kohereza: Ukuboza-29-2021
