倒刺可吸收缝线在腹腔镜下宫角妊娠切除术中的应用

发布时间：2018-05-20 03:02

本文选题：倒刺可吸收缝线 + 宫角妊娠　；参考：《中国内镜杂志》2015年01期

【摘要】：目的评价宫角妊娠的腹腔镜下子宫角楔形切除术中,采用新型自固定倒刺可吸收缝线(QUILLTMSRS)缝合宫角创面,在术中创面止血、预防持续性宫外孕中的临床疗效。方法回顾性分析该院2011年1月-2014年2月,行腹腔镜手术治疗并成功随访的宫角妊娠患者72例,均采用腹腔镜下患侧子宫角楔形切除术,随机分为对照组35例,子宫创面采用普通的1-0可吸收线缝合,而研究组37例采用倒刺可吸收线缝合宫角创面,观察两组手术时间、术中出血量、术后血β-HCG降至正常所需的天数、PEP发生率的差异。结果所有手术均在腹腔镜下顺利完成,研究组的手术时间、术中出血量、血β-HCG降至正常所需的天数,均显著低于对照组(P0.001),且有效减低了持续性异位妊娠发生例数。结论新型倒刺可吸收缝线在腹腔镜下子宫角楔形切除术中的应用,明显缩短缝合时间,简化操作,并降低了手术难度,且能有效减少持续性异位妊娠发生例数。
[Abstract]:Objective to evaluate the clinical effect of suture with a new type of self-fixed inverted suture (QUILLTMSRS) in laparoscopic wedge resection of uterine horn in order to stop bleeding and prevent persistent ectopic pregnancy. Methods from January 2011 to February 2014, 72 cases of uterine horn pregnancy were treated by laparoscopic surgery and followed up successfully. All patients were divided into control group (35 cases) by laparoscopic wedge resection of the affected side of uterus. The uterine wounds were sutured with 1-0 absorbable suture, while 37 cases in the study group were sutured with scalp absorbable suture. The time of operation, the amount of blood loss during operation, and the number of days taken for the blood 尾 -HCG to decrease to normal after operation were observed and the difference in the incidence of PEP was observed between the two groups. Results all the operations were performed successfully under laparoscopy. The operative time, blood loss and the number of days for blood 尾 -HCG to decrease to normal in the study group were significantly lower than those in the control group (P 0.001), and the number of cases of persistent ectopic pregnancy was effectively reduced. Conclusion the application of new inverted absorbable suture in laparoscopic wedge hysterectomy can significantly shorten the suture time, simplify the operation, reduce the difficulty of operation, and effectively reduce the number of cases of persistent ectopic pregnancy.
【作者单位】：苏州大学附属第一医院妇产科;温州医科大学附属第一医院妇科;
【基金】：浙江省自然科学基金资助项目(No:LY12H04004)
【分类号】：R713.8

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