摘要
目的:探讨水分离法在腹腔镜阔韧带肌瘤切除术中的应用价值。方法:将2010年1月至2013年12月48例行腹腔镜阔韧带肌瘤切除术的患者随机分为两组,水分离组(n=25)将稀释的垂体后叶素多点注射于肌瘤包膜内形成"水垫",游离出部分肌瘤组织后,将腹腔镜冲洗管插入瘤体与包膜间,紧贴瘤体包膜边冲水边钝性分离出肌瘤;对照组(n=23)则不打"水垫",直接钝性分离肌瘤。结果:水分离组手术时间明显缩短(P<0.05),术中出血量显著减少(P<0.01)。结论:腹腔镜阔韧带肌瘤切除术中应用水分离法可缩短手术时间,减少术中出血量,操作简单,容易掌握,值得临床推广应用。
Objective： To discuss the application value of hydrodissection technology in the laparoscopic myomectomy for broad ligament myoma. Methods： A total of 48 patients who underwent laparoscopic myomectomy for broad ligament myoma during Jan. 2010and Dec. 2013 were divided into 2 groups： hydrodissection group（ n = 25） and control group（ n = 23）. Multi-point injection of diluted pituitrin was carried out in the hydrodissection group to form a water layer in the myoma membrane,after some tissue of myoma was separated,the flushing tube was inserted into the tumor capsule,tumor was bluntly separated close to the capsule while flushing water. Direct blunt separation without a water layer was carried out in the control group. The clinical data were observed and statistically analyzed. Results： Compared with control group,the operation time of hydrodissection group was significantly shorter（ P 〈0. 05）,and intraoperative blood loss was significantly less（ P〈 0. 01）. Conclusions： Application of hydrodissection technology in the laparoscopic myomectomy for broad ligament myoma can not only shorten operation time,but also reduce intraoperative blood loss. And this method has the advantages of easy operation,and is worthy of clinical application.
出处
《腹腔镜外科杂志》
2014年第4期310-312,共3页
Journal of Laparoscopic Surgery
