腹腔镜下子宫腺肌瘤病灶挖除术32例临床疗效分析

Clinical Efficacy Analysis of 32 Cases of the Laparoscopic Adenomyosis Lesion Excavation

目的 探讨腹腔镜下“工”形切口并内翻缝合术在子宫腺肌瘤剥除术中的疗效及安全性.方法 66例临床诊断为子宫腺肌瘤并要求保留子宫的患者,随机分为两组,观察组行腹腔镜下“工”形切口并内翻缝合术,对照组行腹腔镜下梭形切口及连续缝合术,观察两组的手术时间、出血量、中转开腹例数、术后病率、平均住院天数、痛经缓解情况、复发率等指标.结果 观察组手术时间明显短于对照组,出血量少于对照组,差异有统计学意义(P<0.05),中转开腹例数少于对照组,术后病率少于对照组,复发率低于对照组,差异有统计学(P<0.05),平均住院天数、术后痛经缓解情况、两组差异无统计学意义(P>0.05).结论 腹腔镜下“工”形切口并内翻缝合术可以缩短手术时间,减少手术出血量,能较完整剥除病灶,减少缝合张力,降低中转开腹率,降低术后复发率,是安全有效的保留子宫的手术方法.

Objective To explore the therapeutic effects and safety of laparoscopic”工”shaped incision and varus suture in adenomyosis cystectomy.Methods The sixty—six patients of chnical diagnosis of adenomyosis who require to retain the utems were randomly divided into two groups.The observe group were treated with laparoscopic”工”shaped incision and varus suture.The control group were treated with laparoscopic fusiform incision and continuous suture.To observe the indicators of the two groups such as the operation time,bleeding,the cases of the laparotomy,the postoperative morbidity.,.the average days in hospital...the rehef of dysmenorrhea,the recurrence rate and other indicators.Results The operation time in the observe group was significantly shorter than the control group,and the bleeding in the observe group Tvas less than that in the control group.The difference Tvas statistically significant(P<0.05),.the cases ofthe laparotomy in the observe group were less than those in the control group,the postoperative morbidity in the observe group was less than that in the control group,and the recurrence rate in the observe group Tvas less than that in the control group.The difference Tvas statistically(P<0.05).The difference of the average days in hospital and the rehef of dysmenorrhea of the two groups were not statistically significant(P>0.05).Conclusions The laparoscopic”工”shaped incision and varus suture Can shorten the operation time,reduce surgical bleeding,excavate complete lesions,reduce suture tension,.reduce the laparotomy rate and reduce the recurrence rate.It is safe effective method of reserving uterine surgery.