[1]杜军强,厉华卿.套圈在腹腔镜下子宫肌壁间肌瘤剔除术中的应用[J].中国微创外科杂志,2011,11(5):418-420.
　Du Junqiang,Li Huaqing..Oese Method in Laparoscopic Myomectomy for Intramural Hysteromyoma[J].Chinese Journal of Minimally Invasive Surgery,2011,11(5):418-420.
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套圈在腹腔镜下子宫肌壁间肌瘤剔除术中的应用()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
11
期数:
2011年5期
页码:
418-420
栏目:
出版日期:
2011-05-20

文章信息/Info

Title:
Oese Method in Laparoscopic Myomectomy for Intramural Hysteromyoma
作者:
杜军强; 厉华卿
温州医学院直属东阳医院妇产科，东阳322100
Author(s):
Du Junqiang;  Li Huaqing.
Department of Obstetrics and Gynecology, Dongyang Hospital, Wenzhou Medical College, Dongyang 322100, China
关键词:
套圈; 腹腔镜; 子宫肌瘤剔除术; 肌壁间子宫肌瘤
Keywords:
Oese; Laparoscope; Myomectomy; Intramural hysteromyoma
分类号:
R737.33
文献标志码:
A
摘要:
目的探讨套圈应用于腹腔镜下子宫肌壁间肌瘤剔除术的安全性和有效性。方法对我院2008年10月～2010年3月腹腔镜子宫肌壁间肌瘤剔除术中子宫切口两种处理方法的手术时间、术中出血量、术后恢复情况进行对比分析。2009年7月15日前43例均行子宫切口常规缝合，剔除肌瘤，子宫切口双层缝合，先缝合内1/2肌层关闭瘤腔，再缝合外1/2浆肌层；以后46例先套圈再缝合，分离肌瘤约1/2，用10可吸收线自制套圈，套于瘤体基底部，抽紧，分离瘤体，在分离过程中逐步抽紧套圈线，直至瘤体完全切除，子宫切口单层缝合。结果与常规缝合组相比，先套圈再缝合组出血量少［（112.0±29.5）ml vs.（176.6±40.4）ml，t=8.665，P=0.000］，手术时间短［（73.3±13.9）min vs.（91.8±15.2）min，t=5.977，P=0000］。2组术后发热比例差异无显著性。结论腹腔镜下子宫肌壁间肌瘤剔除术中子宫切口先套圈再缝合更省时，更安全。
Abstract:
ObjectiveTo study the safety and effectiveness of oese method in laparoscopic myomectomy for intramural hysteromyoma. MethodsClinical data, including operation time, intraoperative blood loss, and postoperative recovery, of patients with intramural hysteromyoma who underwent oese and suturing (Group B, n= 46, since 15th July 2009) or routine suturing (Group A, n=43, before 15th July 2009) for incision closure during laparoscopic myomectomy were collected between October 2008 and March 2010. In Group A, the uterine incision was closed by doublelayer suturing after the myoma was removed; the inner muscular layer was sutured first to close the tumor cavity, and then seromuscular layer was sutured. In Group B, after the myoma was half separated, oese method was used before suturing by looping 10 absorbable suture around the base of the tumor so that to remove the tumor completely afterwards; the uterine incision was then closed by singlelayer suturing. ResultsGroup B had significantly less intraoperative blood loss and shorter operation time than Group A ［(112.0±29.5) ml vs. (176.6±40.4) ml, t=8.665, P=0000; (73.3±13.9) min vs. (91.8±15.2) min, t=5.977, P=0.000］. No significant difference was found in the case number of postoperative fever between the two groups.ConclusionOese and suturing is more efficient and safer than routine suturing in laparoscopic myomectomy for intramural hysteromyoma.

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更新日期/Last Update: 2013-04-18