两种缝线在腹腔镜子宫肌瘤剔除术中的应用对比

The Comparation of Two Sutures Used in Laparoscopic Hysteromyomaectomy

目的对比两种缝线在腹腔镜下子宫肌瘤剔除术中的应用效果。方法选取2015年1月—2017年12月我院60例腹腔镜子宫肌瘤剔除术患者,25例采用微乔线缝合,35例采用倒棘线缝合,比较两组患者术中、术后情况。结果倒棘线组手术时间(27.1±12.5)min,短于微乔线组的(38.9±17.6)min(t=4.234,P<0.005);倒棘线组术中出血量(62.4±27.2)ml,少于微乔线的组(105.5±38.3)ml,(t=3.747,P<0.000 5),术后最高体温(36.7±0.8)℃,低于微乔线组的(37.0±0.6)℃,(t=2.323,P=0.02),盆腔引流量(21.4±15.1)ml,少于微乔线组的(33.0±20.6)ml(t=7.83,P<0.005)。结论在腹腔镜子宫肌瘤剔除术中应用倒棘线能缩短手术时间,降低手术难度,有利于患者术后康复。

Objective To compare two sutures used in laparoscopic hysteromyomectomy.Methods 60 cases of laparoscopic myomectomy in our hospital from January 2015 to December 2017 were selected.25 cases were sutured by vicryl suture,35 cases were sutured by unidirectional barbed suture,and the interoperative and postoperative conditions of two groups were compared.Results The operation time of the unidirectional barbed suture group was（27.1±12.5） min,shorter than（38.9±17.6） min of vicryl suture group（t=4.234,P〈 0.005）.The amount of bleeding in unidirectional barbed suture group was（62.4±27.2） ml,fewer than（105.5±38.3） ml of vicryl suture group（t =3.747,P〈 0.0005）.The highest postoperative body temperature was（36.7±0.8）℃ in unidirectional barbed suture group,lower than（37.0±0.6）℃ of vicryl suture group（t =2.323,P =0.02）.Pelvic drainage volume in unidirectional barbed suture group was（21.4±15.1） ml,fewer than（33.0±20.6） ml of vicryl suture group（t=7.83,P〈 0.005）.Conclusion As compared with vicryl suture,unidirectional barbed suture used in laparoscopic intramural has characteristics of shorter suture time,easier performance and faster postoperative recovery.