论文部分内容阅读
目的分析内翻缝合与8字缝合应用于子宫肌瘤剔除术后的效果及对妊娠结局的影响。方法采用随机平行对照法将2015年1月至2016年2月113例子宫肌瘤剔除术后患者,依据缝合方法的不同分为对照组56例和观察组57例,对照组应用8字缝合方法,观察组应用内翻缝合方法。观察两组患者手术时间、术中出血量、盆腔引流时间、住院时间及先兆子宫破裂率与并发症发生率。结果观察组手术时间、术中出血量、盆腔引流时间及住院时间均低于对照组(P<0.05);观察组并发症发生率为1.75%,无先兆子宫破裂发生,均低于对照组(12.50%及8.93%,P<0.05)。结论腹腔镜下子宫肌瘤剔除术采用内翻缝合,通过减少出血量,恢复子宫形态,能够更为有效的缩短手术时间,减少术后并发症、盆腔引流时间及先兆子宫破裂率,值得临床推广及应用。
Objective To analyze the effect of inverted suture and 8-suture on myomectomy and the effect on pregnancy outcome. Methods A total of 113 patients with uterine fibroids removed from January 2015 to February 2016 were randomly divided into control group (56 cases) and observation group (57 cases) according to the method of stitching. The control group was treated with 8-suture method , Observation group application of varus suture method. The operation time, intraoperative blood loss, pelvic drainage time, hospitalization time, rate of threatened uterine rupture and complication rate were observed. Results The operation time, intraoperative blood loss, pelvic drainage time and hospital stay in observation group were lower than those in control group (P <0.05). The incidence of complications in observation group was 1.75%, and the incidence of uterine rupture was lower than that in control group 12.50% and 8.93% respectively, P <0.05). Conclusion Laparoscopic myomectomy with inverted suture, by reducing the amount of bleeding, restore uterine morphology, can be more effective in shortening the operation time and reduce postoperative complications, pelvic drainage time and threatened uterine rupture rate, worthy of clinical promotion And application.