Shi Xiaojun, Shi Libing, Zhang Songying
Department of Gynecology, The First Affiliated Hospital of Jiaxing University, Jiaxing, Zhejiang 314001, P.R. China.
Assisted Reproduction Unit, Department of Obstetrics and Gynecology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310016, P.R. China.
Mol Clin Oncol. 2020 Mar;12(3):237-243. doi: 10.3892/mco.2020.1982. Epub 2020 Jan 21.
To assess the value of the modified laparoscopic uterine comminution technique in laparoscopic uterine surgery, a total of 82 cases of laparoscopic myomectomy were divided into the traditional group and modified group, according to a random number table. During the same period, 92 patients who underwent laparoscopic hysterectomy were divided into the conventional group and the modified group, according to a random number table. The patients in the conventional group and modified group who underwent laparoscopic uterine fibroid removal showed no significant differences in the operation time, blood loss or average hospitalization (P>0.05). There was no significant difference in the operative time or average length of hospital stay between patients in the conventional group and modified group who underwent laparoscopic hysterectomy (P>0.05). In laparoscopic myomectomy, the fibroid specimens were placed in a self-made specimen bag for modified uterine comminution. In laparoscopic hysterectomy, the whole uterus specimen was placed in a self-made specimen bag and viewed from the vagina. The improved comminution technique is simple and feasible, does not increase the operation time or length of hospitalization, and has value for clinical use.
为评估改良腹腔镜子宫粉碎技术在腹腔镜子宫手术中的价值,根据随机数字表将82例腹腔镜子宫肌瘤切除术患者分为传统组和改良组。同期,根据随机数字表将92例行腹腔镜子宫切除术的患者分为常规组和改良组。行腹腔镜子宫肌瘤剔除术的常规组和改良组患者在手术时间、出血量或平均住院时间方面无显著差异(P>0.05)。行腹腔镜子宫切除术的常规组和改良组患者在手术时间或平均住院天数方面无显著差异(P>0.05)。在腹腔镜子宫肌瘤切除术中,将肌瘤标本置于自制标本袋中进行改良子宫粉碎。在腹腔镜子宫切除术中,将整个子宫标本置于自制标本袋中并从阴道观察。改良粉碎技术简单可行,不增加手术时间或住院时间,具有临床应用价值。