国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
18期
2902-2905
,共4页
改良8字形缝合术%腹腔镜%肌壁间子宫肌瘤剔除术
改良8字形縫閤術%腹腔鏡%肌壁間子宮肌瘤剔除術
개량8자형봉합술%복강경%기벽간자궁기류척제술
Modified figure-of-eight suture%Laparoscope%Intramural myomectomy
目的 探讨改良8字形缝合术在腹腔镜下肌壁间子宫肌瘤剔除术中应用的临床效果.方法 2008年1月至201 1年1月期间我院收治的80例肌壁间子宫肌瘤患者根据入院顺序单双号被均分为对照组和观察组.对照组术中采用常规双层间断法缝合肌层和浆膜层,观察组采用改进的8字形单层间断缝合法缝合浆肌层的同时包埋肌瘤包膜.比较两组患者手术时间、术中出血量、住院时间、术中剔除肌瘤的数量和平均直径.结果 两组患者剔除的子宫肌瘤数量对照组(3.5±1.4)、观察组(3.6±1.3);肌瘤平均直径对照组(4.6±1.9) cm、观察组(4.7±2.1cma);两组比较差异无统计学意义(P＞0.05).但观察组患者手术时间对照组(95.6±23.4) ain、观察组(76.2±22.6)min;术中出血量对照组(105.6±34.8) ml、观察组(68.0±21.1) ml;术后3天外周静脉血血红蛋白含量下降值与术前相比,对照组(10.2±3.4)g/L、观察组(7.4±2.8)g/L;住院时间对照组(9.1±2.5)d、观察组(7.9±2.3)d,则明显低于对照组;两组比较差异有统计学意义(P＜0.05).结论 改良的8字形缝合术通过提高缝合速度,缩短手术时间,减少术中出血量,缩短住院时间,是一种高效的止血缝合方法.
目的 探討改良8字形縫閤術在腹腔鏡下肌壁間子宮肌瘤剔除術中應用的臨床效果.方法 2008年1月至201 1年1月期間我院收治的80例肌壁間子宮肌瘤患者根據入院順序單雙號被均分為對照組和觀察組.對照組術中採用常規雙層間斷法縫閤肌層和漿膜層,觀察組採用改進的8字形單層間斷縫閤法縫閤漿肌層的同時包埋肌瘤包膜.比較兩組患者手術時間、術中齣血量、住院時間、術中剔除肌瘤的數量和平均直徑.結果 兩組患者剔除的子宮肌瘤數量對照組(3.5±1.4)、觀察組(3.6±1.3);肌瘤平均直徑對照組(4.6±1.9) cm、觀察組(4.7±2.1cma);兩組比較差異無統計學意義(P＞0.05).但觀察組患者手術時間對照組(95.6±23.4) ain、觀察組(76.2±22.6)min;術中齣血量對照組(105.6±34.8) ml、觀察組(68.0±21.1) ml;術後3天外週靜脈血血紅蛋白含量下降值與術前相比,對照組(10.2±3.4)g/L、觀察組(7.4±2.8)g/L;住院時間對照組(9.1±2.5)d、觀察組(7.9±2.3)d,則明顯低于對照組;兩組比較差異有統計學意義(P＜0.05).結論 改良的8字形縫閤術通過提高縫閤速度,縮短手術時間,減少術中齣血量,縮短住院時間,是一種高效的止血縫閤方法.
목적 탐토개량8자형봉합술재복강경하기벽간자궁기류척제술중응용적림상효과.방법 2008년1월지201 1년1월기간아원수치적80례기벽간자궁기류환자근거입원순서단쌍호피균분위대조조화관찰조.대조조술중채용상규쌍층간단법봉합기층화장막층,관찰조채용개진적8자형단층간단봉합법봉합장기층적동시포매기류포막.비교량조환자수술시간、술중출혈량、주원시간、술중척제기류적수량화평균직경.결과 량조환자척제적자궁기류수량대조조(3.5±1.4)、관찰조(3.6±1.3);기류평균직경대조조(4.6±1.9) cm、관찰조(4.7±2.1cma);량조비교차이무통계학의의(P＞0.05).단관찰조환자수술시간대조조(95.6±23.4) ain、관찰조(76.2±22.6)min;술중출혈량대조조(105.6±34.8) ml、관찰조(68.0±21.1) ml;술후3천외주정맥혈혈홍단백함량하강치여술전상비,대조조(10.2±3.4)g/L、관찰조(7.4±2.8)g/L;주원시간대조조(9.1±2.5)d、관찰조(7.9±2.3)d,칙명현저우대조조;량조비교차이유통계학의의(P＜0.05).결론 개량적8자형봉합술통과제고봉합속도,축단수술시간,감소술중출혈량,축단주원시간,시일충고효적지혈봉합방법.
Objective To evaluate the clinical effect of a modified figure-of-eight suture in laparoscopic intramural myomectomy.Methods From Jan 2008 to Jan 2011,80 women with intramural myoma were recruited and divided into control group (n=40) and observation group (n=40) by odd or even number of their admission order.All patients received the same laparoscopic intramural myomectomy surgery and patients in control group were stanched and sutured with a conventional two-layer suture while patients in observation group were stanched and sutured with a modified figure-of-eight suture.The operation time,blood loss during surgery,hospital stays,and numbers and sizes of myoma removed were compared between the two groups.Results There were no statistical difference between the two groups in numbers of myoma removed [(3.5 ± 1.4) for control group vs.(3.6 ± 1.3) for observation group,P＞0.05] and diameters of myoma removed [(4.6 ± 1.9) cm for control group vs.(4.7 ± 2.1) cm for observation group,P＞0.05],while there were statistical differences between the two groups in operation time [(95.6 ± 23.4) min for control group vs.(76.2 ± 22.6) min for observation group,P＜0.05],blood loss during surgery [(105.6 ± 34.8) ml for control group vs.(68.0 ± 21.1) ml for observation group,P＜0.05],reduction of peripheral hemoglobin concentration on D3 of surgery [(10.2 ± 3.4) g/L for control group vs.(7.4 ± 2.8) g/L for observation group,P＜0.05] and hospital stays [(9.1 ± 2.5) d for control group vs.(7.9 ± 2.3) d for observation group,P＜0.05].Conclusion The modified figure-of-eight suture can reduce the operation time,blood loss and hospital stays.It is an efficient suture method.
