腹腔镜子宫肌瘤剔除术两种缝合方法的效果比较分析

佟卫兵吉林省人民医院妇产科，吉林长春 130021

腹腔镜子宫肌瘤剔除术两种缝合方法的效果比较分析

佟卫兵
吉林省人民医院妇产科，吉林长春 130021

目的比较腹腔镜子宫肌瘤剔除术两种缝合方法的效果。方法整群选取2013年11月—2015年9月来该院行腹腔镜剔除术的114例子宫肌瘤患者随机分为两组，观察组57例给予单层间断内翻缝合子宫术，对照组57例给予双层间断全层缝合术式，比较两种缝合方法的效果。 结果观察组手术时间、术中出血量等指标均明显好于对照组，同时观察组总有效率为89.47%，对照组总有效率71.93%，差异有统计学意义（P＜0.05）。结论单层间断内翻缝合子宫术能明显缩短腹腔镜子宫肌瘤剔除术患者的手术时间，减少术中出血量，提高治疗质量，值得临床推广应用。

腹腔镜子宫肌瘤剔除术；缝合方法；比较

［Abstract］Objective To compare the effects of two suture methods in laparoscopic myomectomy.Methods 114 cases of fibroid patients receiving laparoscopic myomectomy in our hospital from November 2013 to September 2015 were randomly divided into two groups with 57 cases in each，the observation group were treated with single-layer interrupted inverting suture hysterectomy surgery，the control group were treated with double-layer interrupted full-thickness suture technique，and the effects of two suture methods were compared.Results The operation time and intraoperative blood loss in the observation group were obviously better than those in the control group，at the same time，the difference in the total effective rate between the observation group and the control group had statistical significance，（89.47%vs 71.93%），P＜0.05.Conclusion For patients with laparoscopic myomectomy，the single-layer interrupted inverting suture hysterectomy surgery can obviously shorten the operation time，reduce the intraoperative blood loss and improve the treatment quality，which is worth clinical promotion and application.

［Key words］Laparoscopic myomectomy；Suture method；Comparison

子宫肌瘤是女性生殖器官中最为常见的良性肿瘤，腹腔镜剔除术是目前治疗子宫肌瘤的一种流行手术方式，其通过在腹部做3～4个小切口，借助特殊影像系统和特殊器械来完成手术，具有恢复快、美观、术后腹腔粘连轻微的优点［1］，而在术后的伤口缝合上也存在多种方法，不同的手术方法对于提高手术质量、术后伤口恢复、减少患者痛苦都具有重要意义。该研究整群选取2013年11月—2015年9月来该院就诊的行腹腔镜剔除术的子宫肌瘤患者114例，通过对其采取不同的缝合方法，比较单层间断内翻缝合子宫术及双层间断全层缝合术式对患者术后的缝合效果，现报道如下。……