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目的观察V-Loc单向倒刺可吸收缝线在腹腔镜下子宫腺肌瘤剥除术中的应用效果。方法将2014年1月至2015年10月在成都市妇女儿童中心医院妇科接受腹腔镜下子宫腺肌瘤剥除术的患者64例根据随机数字法分为两组,研究组(采用1-0 V-Loc单向倒刺可吸收缝线)和对照组(采用1-0普通可吸收线VCP345)各32例,均采用棒球缝合法。比较两组患者腹腔镜下子宫腺肌瘤剥除后瘤腔及创面缝合时间、手术总时间、术中出血量、住院天数及术后并发症情况。结果研究组患者术中缝合瘤腔时间[(11±4.1)min]、手术总时间[(54±8)min]、平均术中出血量[(28±5)m L]均少于对照组([(27±3.8)min、(82±11)min、(60±6)m L],(P<0.05);术后住院天数[(3.0±0.5)d、(3.2±0.9)d]比较,差异无统计学意义(P>0.05)。术后两组均无并发症发生。结论在腹腔镜下子宫腺肌瘤剥除术中采用V-Loc单向倒刺可吸收缝线关闭瘤腔和缝合创面,能明显缩短缝合时间和总的手术时间,提高手术效率,减少术中出血量,值得推广。
Objective To observe the effect of V-Loc one-way barbs absorbable suture in laparoscopic hysterectomy of adenomyosis. Methods From January 2014 to October 2015, 64 patients with gynecological laparoscopic adenomyosis underwent gynecology in Chengdu Women and Children’s Hospital were divided into two groups according to random number method. The study group (using 1-0 V-Loc unilateral barbs absorbable suture) and the control group (using 1-0 ordinary absorbable line VCP345) each 32 cases, are used baseball stitch method. The laparoscopic suture and wound suture time, total operation time, intraoperative blood loss, hospitalization days and postoperative complications were compared between the two groups. Results The study group had significantly shorter operative time ([11 ± 4.1] min), total operative time (54 ± 8) min, mean operative blood loss (28 ± 5) m L] than those in the control group (P <0.05); the number of days of hospital stay [(3.0 ± 0.5) d, (3.2 ± 0.9) d] There was no significant difference between the two groups (P> 0.05) .Conclusion V-Loc can be used to close the tumor Cavity and suture wounds, can significantly reduce the suture time and the total operation time, improve surgical efficiency, reduce intraoperative bleeding, it is worth promoting.