摘要
目的探讨改进的吸耳球在腹腔镜全子宫切除术阴道断端缝合中的应用价值。方法我院2013年9月~2016年12月在腹腔镜全子宫切除术中应用改进的吸耳球进行阴道断端缝合202例(观察组),与2012年1月~2013年9月传统方法(将无菌纱布放入一次性医用无菌手术手套中,填塞到阴道内)缝合阴道断端95例(对照组)进行比较,观察2组手术时间、出血量、术后排气时间、住院时间等指标。结果观察组手术时间(79.7±20.4)min,明显短于对照组(101.2±30.1)min(t=-7.224,P=0.000);术中出血量(88.8±47.6)ml,明显少于对照组(115.4±56.2)ml(t=-4.234,P=0.000);观察组无术后并发症发生,明显少于对照组4例(P=0.010);观察组术后排气时间(39.5±9.8)h,与对照组排气时间(40.4±13.7)h,无统计学差异(t=-0.646,P=0.519);2组住院时间分别为(5.2±1.5)d和(5.6±2.1)d,无统计学差异(t=-0.876,P=0.062)。结论腹腔镜全子宫切术中应用改进的吸耳球使阴道断端视野暴露清楚,使原本复杂的缝合变得容易,明显缩短手术时间,术中出血量减少,降低术后并发症的几率,值得推广使用。
Objective To investigate the value of vaginal cuff suture with modified rubber pipette bulb for total laparoscopic hysterectomy.Methods A total of297patients underwent total laparoscopic hysterectomy for gynecologic diseases from January2012to December2016.Among them,95cases received traditional vaginal cuff suture(vagina filled with a disposable surgical operation glove packing with sterile gauze)from January2012to September2013(control group),and the other202cases received vaginal cuff suture with use of modified rubber pipette bulb from September2013to December2016(observation group).The operative time,blood loss,first anal exhaust time,and hospital stay were compared.Results There was a shorter operative time[(79.7土20.4)min vs.(101.2±30.1)min,t=-1.224,P=0.000]and less blood loss[(88.8±47.6)ml vs.(115.4±56.2)ml,t--4.234,P=0.000]in the observation group than those in the control group.Four patients in the control group developed postoperative complications,whereas no complication occurred in the observation group(P=0.010).There was no difference in the first anal exhaust time and hospital stay between the two groups[(39.5±9.8)h vs.(40.4±13.7)h,t=-0.646,P=0.519;(5.2±1.5)d vs.(5.6±2.1)d,t=-0.876,P=0.062].Conclusions The application of modified rubber pipette bulb for laparoscopic total hysterectomy has many advantages such as good exposure of vaginal cuff,simple procedure of suture,less blood loss,short operative time,and low incidence of postoperative complications.It is worthy of widespread use.
作者
宋华
邬绍新
张俏
李艺扬
Song Hua;Wu Shaoxin;Zhang Qiao(Department of Obstetrics and Gynaecology, Qianwei Hospital of Jilin Province, Changchun 130012, China)
出处
《中国微创外科杂志》
CSCD
北大核心
2018年第3期202-204,208,共4页
Chinese Journal of Minimally Invasive Surgery
基金
吉林省卫生计生适宜技术推广项目(2016S019)
关键词
吸耳球
腹腔镜
全子宫切除术
阴道残端缝合
Rubber pipette bulb
Laparoscopy
Total hysterectomy
Vaginal cuff suture
