CAJ | 학술논문

目的：探讨腹部小切口及棒球缝合在大子宫肌瘤剔除术中的价值。方法：将患者分为研究组和对照组，研究组24例患者采用腹部小切口，肌瘤创面以棒球缝合法关闭瘤腔，电动子宫切除器取出肌瘤；取传统方法的患者30例作为对照组，比较手术时间、出血量及近期疗效等指标。结果：两组手术时间、出血量比较差异无统计学意义（P>0.05）；而研究组术后排气时间及住院时间明显少于对照组，差异有统计学意义（P<0.05）。结论：腹部小切口及棒球缝合用于子宫肌瘤剔除术优于传统开腹手术。
목적：탐토복부소절구급봉구봉합재대자궁기류척제술중적개치。방법：장환자분위연구조화대조조，연구조24례환자채용복부소절구，기류창면이봉구봉합법관폐류강，전동자궁절제기취출기류；취전통방법적환자30례작위대조조，비교수술시간、출혈량급근기료효등지표。결과：량조수술시간、출혈량비교차이무통계학의의（P>0.05）；이연구조술후배기시간급주원시간명현소우대조조，차이유통계학의의（P<0.05）。결론：복부소절구급봉구봉합용우자궁기류척제술우우전통개복수술。
Objective: To evaluate the clinical effects of Minilaparotomy and Baseball suture in myomectomy for large hysteromyoma.Method:24 patients with large hysteromyoma as the research group were operated by minilaparotomy,the myoma wounds were used baseball suture to closed tumor cavity,and the hysteromyoma were taked out with electric uterus removal device;30 patients were treated by traditional method as the control group.The duration of operation,blood loss, time needed for recovery were observed.Result:The two groups showed the same time of operation and amount of bleed loss, the difference was no statistically significant(P>0.05); the research group needed shorter time for evacuation time and hospital stays than the control group, the difference was statistically significant(P<0.05). Conclusion: Minilaparotomy and baseball suture in myomectomy for large hysteromyoma remains the advantages of laparotomy and laparoscopy.