单向倒刺可吸收缝线应用于腹腔镜下子宫肌瘤剔除术的临床观察

Clinical Observation on Unidirectional Barbed Absorbable Sutures Used in Laparoscopic Myomectomy

目的分析单向倒刺可吸收缝线(V-loc)应用于腹腔镜下子宫肌瘤剔除术中缝合子宫创面的优势。方法选取2015年9月至2017年6月江苏省中医院妇科收治的140例子宫肌瘤患者为研究对象,依据随机数字法分为两组,各70例,观察组使用V-Loc缝合子宫创面,对照组采用普通抗菌薇乔线缝合子宫创面。记录两组手术总时间、术中出血量、子宫创面缝合时间、肌瘤总重量、术中及术后并发症发生情况。结果观察组手术时间、术中出血量、子宫创面缝合时间显著短于对照组[(70.4±19.4)min比(93.5±33.1)min,(21.8±13.2)m L比(40.8±23.5)m L,(10.5±1.5)min比(17.7±2.5)min](均P<0.01),两组肌瘤总重量比较差异无统计学意义(P>0.05)。结论腹腔镜下子宫肌瘤剔除术应用单向倒刺可吸收缝线显著减少术中出血量,缩短创面缝合时间和手术总时间。

Objective To analyze the advantages of unidirectional barbed absorbable sutures in laparoscopic myomectomy.Methods A total of 140 patients with uterine leiomyoma admitted to Jiangsu Provincial Hospital of Traditional Chinese Medicine from Sep. 2015 to Jun. 2017 were randomly divided into two groups：an observation group（ n =70） was sutured with unidirectional barb suture（V-Loc）;control group（ n =70） was treated with ordinary antibacterial Vicryl suture .Total operative time,intraoperative bleeding,suture time of uterine wound, total weight of myoma,intraoperative and postoperative complications of the two groups were compared. Results The operative time,the amount of bleeding and the time of suture of the uterine wound of the observation group were shorter than those of the control group [（70.4±19.4） min vs （93.5±33.1） min,（21.8±13.2） mL vs （40.8±23.5） mL,（10.5±1.5） min vs （17.7±2.5） min]（all P 〈0.01）, and there was no significant difference in total weight of leiomyoma between the two groups（ P 〉0.05）. Conclusion Unidirectional barb suture absorbable suture used in laparoscopic myomectomy can significantly reduce the amount of intraoperative blood loss,shorten the suture time and operation time.