不同缝合方式联合腹腔镜在子宫肌瘤治疗中的临床效果观察

Clinical efficacy of different suture methods combined with laparoscopy in treatment of uterine fibbrrooiidds

目的 探讨不同缝合方式联合腹腔镜在子宫肌瘤治疗中的临床效果。方法 将2020年1月-2022年3月我院收治的子宫肌瘤并行手术患者214例按照随机数表法分为观察组118例与对照组96例;观察组行腹腔镜子宫肌瘤剔除术后采用棒球式缝合法关闭创腔,对照组术后采用传统连续缝合法关闭创腔。对比两组术中及术后各指标信息。结果 术中情况[观察组手术时间、术中出血量、针眼出血再缝合率均低于对照组(P<0.05)];术后情况[观察组子宫切口血肿发生率、住院时间、术前后血红蛋白下降幅度均低于对照组(P<0.05);两组术后感染率无统计学差异(P>0.05)]。结论 腹腔镜下子宫肌瘤剔除术中采用棒球式缝合法高效、安全,临床疗效确切;与传统连续缝合法相比优势突出,术中出血少,手术时间短,预后更加良好,值得临床推广应用。

Objective To discuss the clinical effect of different suture methods combined with laparoscopy in the treatment of uterine fibroids.Methods A total of 214 patients with uterine fibroids underwent laparoscopic myomectomy in our hospital from January 2020 to March 2022 were randomly assigned into two groups.In laparoscopic myomectomy,the wound was closed by means of baseball suture in observation group(n=118)and was by traditional continuous suture in control group(n=96).Then the intraoperative and postoperative indicators were compared between two groups.Results In terms of the intraoperative conditions,observation group had shorter operation time,less intraoperative blood loss and lower rate of suture site bleeding and re-suture than those of control group(P<0.05).From the aspects of postoperative indicators,observation group had lower uterine incision hematoma rate,shorter length of stay,and smaller difference between pre-and postoperative hemoglobin than those of control group(P<0.05),and no statistical difference was found in postoperative infection rate between two groups(P>0.05).Conclusion Compared with traditional continuous suture method,application of baseball suture in laparoscopic myomectomy has better efficacy and safety profiles,and it has the advantages of less intraoperative bleeding,shorter operative time and better prognosis,which is worthy of clinical promotion.