腹腔镜下切除子宫后壁肌瘤缝合方法探讨.doc

腹腔镜下切除子宫后壁肌瘤缝合方法探讨.doc腹腔镜下切除子宫后壁肌瘤缝合方法探讨
[摘要] 目的:探讨腹腔镜切除子宫后壁肌瘤的缝合方法,并与开腹手术进行比较。方法:选择2008年8月~2009年5月我院33例单发的子宫后壁壁间肌瘤患者,将其随机分为腹腔镜组和开腹组。其中,9例开腹手术,采用常规手术方式;24例在腹腔镜下手术,采用连续水平褥式内翻缝合法,缝合子宫肌层及浆肌层。对两组手术时间及出血量进行分析对比。结果:24例腹腔镜手术均顺利完成此种方式的缝合,平均手术时间(55±18) min (35~90 min);术中出血量(62±42) ml (10~110 ml)。9例开腹手术时间(60±9) min (45~70 min);术中出血量(64±35) ml (20~100 ml)。两组手术时间及出血量比较均无显著性差异(P>)。结论:腹腔镜下子宫后壁的肌瘤切除,依靠更快捷的缝合方法,完全可以和非常成熟的开腹手术相媲美,充分体现了腹腔镜手术的优越性。
[关键词] 腹腔镜;子宫肌瘤切除术;缝合技术
[中图分类号] [文献标识码]A [文章编号]1673-7210(2010)06(c)-037-02

The discussion of laparoscopic excision of the posterior yoma suture method
TANG Demin, HU Haiyan
(Department of Gynecology, Maternal and Child Health Hospital of Shenzhen City, Shenzhen 518028, China)
[Abstract] Objective: To discuss the quick suture technique of laparoscopic hysteromyoectomy in the back intramural myoma pared y. Methods: 33 patients ural uterine myoma from August 2008 to May 2009 in our hospital y group. Among them, laparoscopic hysteromyoectomy ed in 24 patients essfully and laparotomy in 9 patients. Laparoscopic hysteromyoectomy e;s operation time and bleeding of laparoscopic hysteromyoectomy and laparotomy pared. Results: The mean operation time n;18) min (35-90 min); bleeding during operation n;42) ml (10-110 ml) in the laparoscopic hysteromyoectomy. The mean operation time n;9) min (45-70 min); bleeding dur