杜善平,张静,杨晓梅,王爱玲,郝崔培,王飞
DU Shanping,ZHANG Jing,YANG Xiaomei,WANG Ailing,HAO Cuipei,WANG Fei

• 1:陕西省人民医院妇科

摘要(Abstract)：

目的:探讨V-Loc~(TM)180可吸收缝合线在腹腔镜子宫肌瘤剔除术中的应用价值。方法:74例子宫肌瘤患者分为试验组(n=30)和对照组(n=43),试验组术中应用V-LocTM180可吸收线缝合,对照组术中应用2-0号薇乔可吸收缝线缝合;比较2组患者手术平均时间、术中平均出血量、术中血红蛋白(hb)下降数值及盆腔引流时间,比较2组患者术后最高体温、体温恢复时间、下床时间、住院时间及术后中转开腹例数、术后发热例数及肛门排气时间。结果:与对照组比较,试验组术中指标手术平均时间、术中出血量、Hb下降数值、盆腔引流时间明显降低(P <0. 05),术后2组患者最高体温、体温恢复时间、下床时间及术后住院时间比较,差异无统计学意义(P> 0. 05);术后两组患者术后中转开腹及术后发热例数,肛门排气时间比较,差异无统计学意义(P> 0. 05)。结论:V-LocTM180可吸收缝合线适合腹腔镜子宫肌瘤剔除术,效果优于薇乔可吸收缝缝合线。
Objective: To evaluate the V-Loc~(TM)180 absorbable sutures in the application of laparoscopic hysteromyomectomy. Methods: 74 cases of patients with uterine fibroids were divided into experimental group(n = 30) and control group(n = 43). The experimental group was sutured with VLoc 180 absorbable suture,while the control group was sutured with 2 ~ 0 eu Joe absorbable sutures.The mean time of operation,intraoperative blood loss,hemoglobin drop situation,postoperative pelvic drainage time were compared between the two groups. The maximum body temperature,recovery time,time of getting out of bed,hospitalization time,the number of cases of postoperative conversion to laparotomy,postoperative fever and anal exhaust time were also compared between the two groups. Results: Compared with the control group,the mean time of operation,intraoperative blood loss,hemoglobin drop situation,and postoperative pelvic drainage time of the experimental group decreased significantly(P < 0. 05). However,there was no statistically significant differences of the maximum body temperature,recovery time,time of getting out of bed,hospitalization time,the number of cases of postoperative conversion to laparotomy,postoperative fever and anal exhaust time between the two groups. Conclusion: V-Loc 180 absorbable suture is suitable for laparoscopic hysteromyomectomy,and the effect is superior to that of 2 ~ 0 eu Joe absorbable sutures.

关键词(KeyWords)： V-Loc TM180缝合线;腹腔镜子宫肌瘤剔除术;手术时间;并发症
V-Loc TM180 sutures;laparoscopic hysteromyomectomy;operation time;complication

Abstract:

Keywords:

基金项目(Foundation): 陕西省社会发展科技攻关项目(2016SF-268)

作者(Author): 杜善平,张静,杨晓梅,王爱玲,郝崔培,王飞
DU Shanping,ZHANG Jing,YANG Xiaomei,WANG Ailing,HAO Cuipei,WANG Fei

DOI: 10.19367/j.cnki.1000-2707.2018.11.021

参考文献(References)：

• [1]邓小凤,杨冬梅.腹腔镜下大径线子宫肌瘤剔除术37例临床分析[J].重庆医学,2014,(4):448-450.
• [2]罗萍.子宫肌瘤不同术式剔除术后临床疗效及其对妊娠的影响[J].中国医师杂志,2016,18(5):776-778.
• [3] VERKAUF B S. Myomectomy for fertility enhancement and preserva-tion[J]. Fertil steril,1992,58(1):1-15.
• [4]HUANG P S,SHEU B C,HUANG S C,et. Intraligamental myomectomy strategy using laparoscopy[J]. Journal of minimally invasive gynecology,2016,23(6):954-961.
• [5]李娜.腹腔镜子宫肌瘤剔除术与经腹子宫肌瘤剔除术治疗子宫肌瘤效果比较[J].中国急救医学,2016,36(1):54-55.
• [6]王妨妨,朱笕青.经腹腔镜子宫肌瘤剔除术相关并发症及诊治策略[J].中国医刊,2017,52(10).:254-258.
• [7]谢宇,叶凤如,邓红秋,等.子宫大切口分层缝合方式在腹腔镜下子宫肌瘤剔除术中的应用[J].中国微创外科杂志,2012,12(4):322-324.
• [8]侯文杰,徐建英,陈洁,等.双向倒刺可吸收自封缝合线在腹腔镜下子宫肌瘤剔除术中的应用[J].新医学,2016,47(10):695-698.
• [9]NIELSEN J S. The evolution of minimally invasive gynecologic surgery[J]. Minn Med,2012,95(3):43-45.
• [10]谢幸.妇产科[M]. 8版.北京:人民卫生出版社,2014.
• [11]杨蕾,黄志兰,敬源,等.经腹腔镜与经腹子宫肌瘤剔除术的综合评价对比研究[J].现代肿瘤医学,2017,25(6):924-928.
• [12]孙亚晶,张宜群.腹腔镜下与开腹子宫肌瘤剔除术的临床效果与并发症对比分析[J].中国性科学,2016,25(4):50-52.
• [13]ANGIOLI R,PLOTTI F,MONTERA R,et al. A new type of absorbable barbed suture for use in laparoscopic myomectomy[J]. Int J Gynaecol Obstet,2012,117(3):220-223.
• [14]郝焰,吴青青,卢丹,等.腹腔镜超声在腹腔镜子宫肌瘤剔除术中的应用价值[J].中国微创外科杂志,2017,17(6):483-486.
• [15]刘可.腹腔镜子宫肌瘤手术患者术中出血量的影响因素分析[J].国际医药卫生导报,2014,20(11):1572-1573.
• [16]王瑞敏,侯懿.腹腔镜子宫肌瘤剔除术与传统开腹手术治疗子宫肌瘤的临床疗效比较[J].重庆医学,2014,(7):852-853.
• [17]GREENBERG J A. The use of barbed sutures in obstetrics and gynecology. J Minim Invasive Gynecol,2011,18(6):716-719.
• [18]DUBUISSON J B,FAUCONNIER A,DEFFARGES J V,etal. Pregnancy outcome and deliveries following laparoscopic myomectomy[J]. Hum Reprod,2000,15:869-873.
• [19]EMAD R. Mp23-03 continence recover after vesicourethral anastomosis with bidirectional suture(v-loc 180)versus polyglecaprone(monocryl)in robotic-assisted radical prostatectomy[J]. The Journal of Urology,2016,195(4):261-262.
• [20]LIN C,CONG QL,BING W,et al. V-LocTM180 suture in total laparoscopic hysterectomy:a retrospective study comparing Polysorb to barbed suture used for vaginal cuff closure[J]. European Journal of Obstetrics and Gynecology,2016,207:18-22.

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