摘要
目的探索阴式子宫切除术阴道残端缝合的最佳方法。方法收集该院2009年8月～2010年12月施行阴式子宫切除病例146例分为对照组和实验组,均采用1/0薇乔线。对照组80例阴道残端单层锁边缝合,从阴道顶端一侧开始缝合直至另一侧;实验组66例在单层锁边缝合的基础上,残端两侧角半荷包缝合,第2层水平褥式缝合。术后3个月随访,由门诊医师统计阴道残端息肉发生率。结果对照组随访65例,息肉发生率为38.5%(25/65);实验组随访45例,息肉发生率为15.6%(7/45),两组比较统计学有极显著性差异(P<0.01)。结论阴式子宫切除术残端两角半荷包缝合+双层褥式缝合法优于单层锁边缝合法。
Objective To explore the optimal suture method of vaginal stump in vaginal total hysterectomy. Methods One hundred and forty-six cases with vaginal total hysterectomy from August 2009 to December 2010 were divided into control group （80） and experiment group （ 66 ） with 1/0 Vicryl threads used. Single-layer locking stitch suture of vaginal stump was performed in control group, and Semi-pouch suture was performed on the basis of control group in experiment group. The incidence of polypus of vaginal stump were collected 3 months after operation. Results The rates of polypus in control group and experiment group were 38.5% （25/65） and 15.6% （7/45） respectively, there was significant difference between them （P 〈 0.01 ）. Conclusion Semi-pouch suture method of Vaginal stump is better than single-layer locking stitch suture.
出处
《中国现代医生》
2011年第27期159-160,共2页
China Modern Doctor
