腹腔镜下子宫肌瘤剔除术不同缝合方法的临床研究 |
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引用本文: | 张连民,张秀果,郑穗瑾,赵旭.腹腔镜下子宫肌瘤剔除术不同缝合方法的临床研究[J].现代保健,2012(19):25-26. |
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作者姓名: | 张连民 张秀果 郑穗瑾 赵旭 |
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作者单位: | 广东省东莞市厚街医院,广东东莞523900 |
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摘 要: | 目的:讨论腹腔镜下子宫肌瘤剔除术5种不同缝合方法的疗效。方法:对165例腹腔镜下子宫肌瘤剔除术的不同缝合方法进行比较分析。六种方法分别是:腹腔外配合拉线腹腔内间断“8”字缝合法(A组),腹腔内连续褥式缝合法(B组),腹腔内分层连续褥式缝合法(C组),腹腔内分层间断“8”字缝合法(D组),助手固定腹腔内连续褥式缝合法(E组)。结果:165例腹腔镜手术患者均在腹腔镜下完成手术,无一例中转开腹,A组和E组所需时间较短,术中出血量较少,与其他组相比差异有统计学意义(P〈0.05),各组均无术后并发症发生,差异无统计学意义(P〉O.05)。结论:在腹腔镜子宫肌瘤剔除手术中既简单又实用且快速有效的缝合方式,能很好地减少术中出血量,值得临床推广
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关 键 词: | 腹腔镜 子宫肌瘤剔除术 缝合方式 |
Laparoscopic Myomectomy of Different Suture Methods in Clinical Research |
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Institution: | ZHANG Lian-min, ZHANG Xiu-guo, ZHENG Sui- jin, et al. (First-author's address:Houjie's Hospital of Dongguan City, Dongguan 523900, China) |
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Abstract: | Objective :To discuss and compare the curative effects of 5 different iaparoseopic myomeetomy suture methods. Method:Different suture methods of iaparoseopic myomeetomy from 125 cases were analyzed. Six methods are as follows: outside the abdominal with cable combined with peritoneal intermittent "8" word suture (group A), intraperitoneal continuous mattress suture (group B), intraperitonea] hierarchical continuous mattress suture (group C), intraperitoneal layer-layer intermittent g word suture (group D), auxiliary fixed intraperitoneal continuous mattress suture (group E). Result :165 laparoscopie patients were completed operation with no cases of conversions opened. Compared with other groups, group A and group F needed shorter time and less biood loss during operation in a statistically significant way (P〈0.05). All groups were no postoperative complications occurred in a statistically significant (P〉0.05). Conclusion :Laparoscopie myomeetomy suture which is able to reduce bleeding during operation is worthy of clinical application with simpie, practical and efficient features. |
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Keywords: | Laparoseopie Myomectomy Suture |
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