Li Bo, Zhang Shitai, Ma Ningye, Jiao Yisheng, Zhou Yang, Ni Sha, Han Xue, Liu Xiaomo, Ouyang Ling
Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.
Medicine (Baltimore). 2017 Aug;96(31):e7672. doi: 10.1097/MD.0000000000007672.
To investigate the efficacy and advantage of combining situ-morcellation with continuous-fill-mattress suture compared with conventional morcellation and suture in laparoscopic myomectomy.
One hundred sixteen patients who underwent laparoscopic myomectomy from March 2014 to October 2016.
Patients were divided into combining situ-morcellation with continuous-fill-mattress suture group (n = 62) and conventional group (n = 54), and subsequent statistical analysis the clinical data of the 2 groups.
The combining situ-morcellation with continuous-fill-mattress suture group shows significantly decrease of surgery time, incision size, blood loss, postoperative drainage volume and time, postoperative vent time, hospital stay and the loss of hemoglobin value. Moreover, there is significant significance between the 2 groups in the surgery time (P = .018), the postoperative drainage volume (P = .000), and the loss of hemoglobin value (P = .000).
The combining situ-morcellation with continuous-fill-mattress suture shows significant advantages in shortening surgery time and reducing blood loss compared with conventional group in laparoscopic myomectomy.
探讨腹腔镜子宫肌瘤剔除术中原位旋切联合连续褥式缝合与传统旋切及缝合相比的疗效及优势。
选取2014年3月至2016年10月行腹腔镜子宫肌瘤剔除术的116例患者。
将患者分为原位旋切联合连续褥式缝合组（n = 62）和传统组（n = 54），随后对两组临床资料进行统计学分析。
原位旋切联合连续褥式缝合组手术时间、切口大小、出血量、术后引流量及时间、术后排气时间、住院时间和血红蛋白值下降均显著减少。此外，两组在手术时间（P = 0.018）、术后引流量（P = 0.000）和血红蛋白值下降（P = 0.000）方面有显著差异。
在腹腔镜子宫肌瘤剔除术中，原位旋切联合连续褥式缝合与传统组相比，在缩短手术时间和减少出血量方面具有显著优势。
