腹腔镜下子宫肌瘤剔除术不同缝合方法的临床研究

Laparoscopic Myomectomy of Different Suture Methods in Clinical Research

目的:讨论腹腔镜下子宫肌瘤剔除术5种不同缝合方法的疗效。方法:对165例腹腔镜下子宫肌瘤剔除术的不同缝合方法进行比较分析。六种方法分别是:腹腔外配合拉线腹腔内间断"8"字缝合法(A组),腹腔内连续褥式缝合法(B组),腹腔内分层连续褥式缝合法(C组),腹腔内分层间断"8"字缝合法(D组),助手固定腹腔内连续褥式缝合法(E组)。结果:165例腹腔镜手术患者均在腹腔镜下完成手术,无一例中转开腹,A组和E组所需时间较短,术中出血量较少,与其他组相比差异有统计学意义(P<0.05),各组均无术后并发症发生,差异无统计学意义(P>0.05)。结论:在腹腔镜子宫肌瘤剔除手术中既简单又实用且快速有效的缝合方式,能很好地减少术中出血量,值得临床推广。

Objective ：To discuss and compare the curative effects of 5 different iaparoseopic myomeetomy suture methods. Method：Different suture methods of iaparoseopic myomeetomy from 125 cases were analyzed. Six methods are as follows： outside the abdominal with cable combined with peritoneal intermittent ＂8＂ word suture （group A）, intraperitoneal continuous mattress suture （group B）, intraperitonea] hierarchical continuous mattress suture （group C）, intraperitoneal layer-layer intermittent g word suture （group D）, auxiliary fixed intraperitoneal continuous mattress suture （group E）. Result ：165 laparoscopie patients were completed operation with no cases of conversions opened. Compared with other groups, group A and group F needed shorter time and less biood loss during operation in a statistically significant way （P〈0.05）. All groups were no postoperative complications occurred in a statistically significant （P〉0.05）. Conclusion ：Laparoscopie myomeetomy suture which is able to reduce bleeding during operation is worthy of clinical application with simpie, practical and efficient features.