Objective To evaluate and compare the curative effect of laparoscopic intramural myomectomy in the operative sutured technique. Methods 127 cases with myoma of uterus underwent laparoscopic intramural myomectomy were analyzed. Results All patients were successfully cured. No patients were converted to abdominal open myomectomy or no complication occurred. The mean operative time and the mean total blood loss in Group continuous suture (Group A) were (60.79±16.87) min and (54.95± 15.26) ml respectively, which were significantly less than those of Group interrupted suture (Group B) (78.67±17.55) min and (75.43±20.34) ml (P＜0.01), but there was no significant difference in time of passage of gas by anus and length of stay between two groups. Conclusion The continuous suture technique is effective to hemostasis, which with the clinical value of less bleeding, shorter operative time.%目的 探讨和比较腹腔镜下子宫肌瘤剔除术的两种缝合方式的疗效.方法 对127例腹腔镜下子宫肌瘤剔除术的两种不同缝合方式进行比较和疗效总结分析.结果 127例患者均在腹腔镜下手术成功,无中转开腹病例,无术后并发症发生.连续缝合子宫术式(A组):平均手术时间(60.79±16.87)min,较间断缝合术式(B组)的(78.67±17.55)min明显缩短,差异有统计学意义(P＜0.01);A组术中平均出血量为(54.95±15.26)ml,较B组(75.43±20.34)ml明显减少,差异有统计学意义(P＜0.01);而两者在术后排气时间(h)及术后住院时间(d)方面差异无统计学意义(P＞0.05).结论 腹腔镜下子宫肌瘤剔除术采用连续缝合子宫的方法能有效止血,是一种出血少、手术时间短、创伤小,并具有临床推广价值的缝合方式.
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