[1]宋华** 邹宝玉① 张传英 曹亚琼 刘丹 张伟 罗洪丽.腹腔镜下≥10 mm trocar切口缝合术改进的比较研究[J].中国微创外科杂志,2024,01(8):558-562.
　Song Hua*,Zou Baoyu,Zhang Chuanying*,et al.Comparative Study on the Improvement of Suture for Laparoscopic Trocar Incision With a Length ≥ 10 mm[J].Chinese Journal of Minimally Invasive Surgery,2024,01(8):558-562.
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腹腔镜下≥10 mm trocar切口缝合术改进的比较研究()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2024年8期
页码:
558-562
栏目:
临床研究
出版日期:
2024-08-25

文章信息/Info

Title:
Comparative Study on the Improvement of Suture for Laparoscopic Trocar Incision With a Length ≥ 10 mm
作者:
宋华** 邹宝玉① 张传英 曹亚琼 刘丹 张伟 罗洪丽
(吉林省前卫医院妇产科，长春130012)
Author(s):
Song Hua*;  Zou Baoyu;  Zhang Chuanying*;  et al.
*Department of Gynecology and Obstetrics, Qianwei Hospital of Jilin Province, Changchun 130012, China
关键词:
妇科手术; 腹腔镜; 缝合; 切口并发症
Keywords:
Gynecological surgery; Laparoscopy; Suture; Incision complications
文献标志码:
A
摘要:
目的比较腹腔镜下≥10 mm trocar切口腹腔内和腹腔外2种缝合术的临床效果。方法选取2017年3月~2023年3月我院妇科腹腔镜手术138例，按入院时间顺序分为2组：2017年3月~2020年3月传统组(腹腔镜手术腹腔外缝合皮肤及皮下组织，进行10~12 mm切口关闭)53例，2020年4月~2023年3月改良组(腹腔镜下腹腔内缝合筋膜、腹膜，进行10~12 mm切口关闭)85例，比较2组术后切口并发症情况。结果改良组术后切口液化1例，无其他并发症；传统组术后切口出血1例、切口感染2例、切口液化1例、切口裂开1例、切口疝1例。改良组术后切口并发症发生率1.2%(1/85)，显著低于传统组11.3%(6/53)(χ2=5.029,P=0.025)。结论妇科腹腔镜手术在腹腔镜下腹腔内缝合≥10 mm切口，术后切口并发症发生率明显降低，但操作难度较大,缝合技术要求高。
Abstract:
ObjectiveTo compare the clinical efficacy between laparoscopic suture and extraperitoneal suture for laparoscopic trocar incision with a length ≥ 10 mm. MethodsA total of 138 patients with gynecological surgery under laparoscopy admitted to our hospital from March 2017 to March 2023 were divided into two groups according to their admission time: 53 cases in the traditional group (after laparoscopic surgery, the skin and subcutaneous tissue were sutured outside the peritoneum to close the trocar incision 10-12 mm in length) from March 2017 to March 2020, and 85 cases in the improved group (the fascia and peritoneum were sutured intraperitoneally under laparoscopy to close the trocar incision 10-12 mm in length) from April 2020 to March 2023. The postoperative incision complications were compared between the two groups.ResultsThere was 1 case of postoperative incision liquefaction in the improved group, without other complications. There were 1 case of postoperative incision bleeding, 2 cases of incision infection, 1 case of incision liquefaction, 1 case of incision dehiscence, and 1 case of incision hernia in the traditional group. The incidence of postoperative incision complications in the improved group was 1.2% (1/85), significantly lower than that in the traditional group ［11.3% (6/53); χ2=5.029,P=0.025］.ConclusionAfter gynecological laparoscopic surgery, intraabdominal suture of incision ≥ 10 mm in length significantly reduces the incidence of postoperative incision complications, but the operation is difficult to perform and requires high suturing techniques.

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备注/Memo

备注/Memo:
基金项目：吉林省卫生健康委技术能力提升计划项目（2023LC082）**通讯作者，Email：2475054014@qq.com ①（东莞市滨海湾中心医院妇产科，东莞523900）
更新日期/Last Update: 2024-11-13