两种缝合术对腹腔镜下子宫全切术后阴道残端出血的影响

The effect of two suture ways on vaginal stump bleeding by laparoscopic total hysterectomy

目的:比较两种缝合术对腹腔镜下子宫全切术后阴道残端出血的影响,以探讨两种残端缝合方式的优劣。方法:选择2008年1月至2010年12月我院妇产科收治的拟行腹腔镜下子宫全切术的296例患者为研究对象,随机分为"8"字缝合组(实验组)149例和连续缝合组(对照组)147例,比较其术后阴道残端出血的发生率;并按其妇科基础疾病性质分为良性组与恶性组,对其术后阴道残端出血的发生率进行比较。结果:①连续缝合组与"8"字缝合组阴道残端出血的发生率差异无统计学意义(P>0.05);②妇科基础疾病性质属于恶性者术后残端出血发生率比良性者高,其差异具有统计学意义(P<0.01)。结论:腹腔镜下子宫全切术后阴道残端出血与妇科基础疾病性质有关而与残端缝合方式无关。

Objective： To compare the effect of two suture methods of vaginal stump on laparoscopie hysterectomy cutting stump bleeding and explore the advantages and disadvantages of the two ways of stump suture. Methods：296 cases of laparoscopic hysterectomy patients who were admitted in our hospital from January 2008 to December 2012 and were go- ing to be treated with laparoscopic hysterectomy were randomly divided into continuous suture（ control group） and ＂8＂ su- ture（ experimental group） ,the incidence rate of stump bleeding was compared between the two groups. 296 cases were also divided into malignant group and benign group,the incidence rates of stump bleeding were also compared. Resllllts：①No significant difference of the incidence rate of vaginal stump bleeding was found between continuous suture group and ＂8＂ suture group（ P 〉 0.05 ） ;②The incidence rate of vaginal stump bleeding in malignant group was significantly higher than that in the benign group （P 〈 0.01 ）. Conclusion：Vaginal bleeding stump after laparoscopic hysterectomy was related to the nature of the underlying diseases but had nothing to do with the stump suture.