腹腔镜下子宫后壁肌瘤切除术腹壁穿刺点的选择

The selection for the puncture site in the posterior uterine wall during laparoscopic myomectomy

目的探讨腹腔镜下子宫后壁肌瘤切除术穿刺点的选择。方法 54例子宫后壁肌瘤患者随机分为观察组和对照组,观察组27例患者改变既往穿刺点的位置,进行腹腔镜下子宫肌瘤切除术,对照组27例按常规穿刺点位置进行手术,比较两组间手术时间、术中出血量及术后住院时间、并发症等情况。结果两组患者术中均无并发症发生,术中出血量及术后住院日亦无差异(P<0.05),但改变穿刺点位置后手术时间明显缩短(P<0.05)。结论腹腔镜下子宫后壁肌瘤切除术改变穿刺点位置,可降低腹腔镜下缝合难度,缩短手术时间,更加充分体现腔镜的优越性。

Objective To investigate the selection for the puncture site in the posterior uterine wall during laparo-copic myomectomy. Methods 54 cases of posterior uterine wall myoma were divided into observation group and control group from January 2011 to June 2012, 27 cases in the observation group changed the position of the previous puncture site of laparoscopic myomectomy. 27 cases in the control group with the conventional puncture position. Operative time, blood loss, postoperative hospitalization, and complications were compared between the two groups. Results There was no difference between the two groups in the complications, blood loss, and postoperative hospitalization （P〉0.05）, but surgery time was significantly shorter with changing conventional puncture position （P〈0.05）. Conclusion Changing the conventional puncture position in posterior uterine wall laparoscopie myomectomy can reduce the difficulty of laparoscopic suturing and shorten the operative time. The superiority of laparoscopic is more fully embodied.