CAJ | 학술논문

目的：观察分析腹腔镜下子宫肌瘤剔除术后内翻缝合与“8”字缝合对手术及术后并发症的影响。方法回顾性分析142例腹腔镜下行子宫肌瘤剔除术治疗患者的临床资料,根据缝合方法不同分为内翻缝合组85例采用直褥式内翻缝合,“8”字缝合组57例采用“8”字缝合,观察比较2组患者的手术时间、术中出血、术后并发症差异。结果内翻缝合组手术时间及术中出血均少于“8”字缝合组,单个瘤体子宫后壁部位者手术时间及术中出血多于子宫前壁及子宫底部患者,“8”字缝合组术后1例手术相关盆腔感染,2例盆腹腔黏膜粘连,并发症发生率有统计学差异(P<0.05)。结论腹腔镜下子宫肌瘤剔除术采用直褥式内翻缝合能够缩短手术时间,起到术中止血效果,减少术后盆腔感染及盆腹腔黏膜粘连等并发症的发生。
목적：관찰분석복강경하자궁기류척제술후내번봉합여“8”자봉합대수술급술후병발증적영향。방법회고성분석142례복강경하행자궁기류척제술치료환자적림상자료,근거봉합방법불동분위내번봉합조85례채용직욕식내번봉합,“8”자봉합조57례채용“8”자봉합,관찰비교2조환자적수술시간、술중출혈、술후병발증차이。결과내번봉합조수술시간급술중출혈균소우“8”자봉합조,단개류체자궁후벽부위자수술시간급술중출혈다우자궁전벽급자궁저부환자,“8”자봉합조술후1례수술상관분강감염,2례분복강점막점련,병발증발생솔유통계학차이(P<0.05)。결론복강경하자궁기류척제술채용직욕식내번봉합능구축단수술시간,기도술중지혈효과,감소술후분강감염급분복강점막점련등병발증적발생。
Objective To observe the effect analysis of inverting suture and 8-character-pattern suture after laparoscopic myomectomy for the operation and postoperative complications. Methods The data of of 142 patients with laparoscopic myomectomy were analyzed retro-spectively. According to the different suture methods,they were divided into inverting suture group (85 cases) with straight mattress inverting suture and 8-character-pattern suture group (57 cases). The operation time, intraoperative bleeding, postoperative complications between two groups were compared. Results The operation time and intraoperative bleeding of varus suture group were less than those of 8-character-pat-tern suture group, single tumor posterior uterine wall parts of operation time and intraoperative bleeding than patients with the anterior wall of the uterus and uterine bottom, 1 cases of pelvic related operation infection after operation in eight suture group,abdominal and pelvic mucosa adhesion in 2 cases,the complication rates between two groups were statistically difference (P<0. 05). Conclusion Laparoscopic myomec-tomy with direct mattress inverting suture can shorten operation time, play a good hemostasis in the operation and reduce the incidence of pel-vic infection and abdominal and pelvic mucosa adhesion.