套扎法在腹腔镜下大子宫肌瘤剔除术中的应用效果观察(1)
【摘要】 目的：探讨套扎法在腹腔镜下大子宫肌瘤剔除手术中的临床应用效果。方法：随机选取2015年1月-2016年1月前来本院接受大子宫肌瘤剔除术的52例患者，按照住院号尾号的奇偶将患者分为观察组和参照组，每组26例。参照组患者选用腹腔镜缝合进行治疗，观察组患者则选用套扎法进行处理，对比两组患者的应用效果。结果：观察组患者术中出血量、手术时间及住院时间均优于参照组，差异均有统计学意义(P<0.05)。观察组患者术后不良反应发生率为3.85%(1/26)，低于参照组的34.62%(9/26)，差异有统计学意义( 字2=7.924，P=0.005)。此外，患者出院后随访一年，两组患者均未出现复发情况。结论：套扎法在腹腔镜下大子宫肌瘤剔除手术中其疗效显著，有效降低了患者术后不良反应的发生率，可临床推广应用。
【关键词】 套扎法； 腹腔镜； 大子宫肌瘤剔除术
Observation on the Effect of Ligation in Laparoscopic Myomectomy for Large Uterus Myoma/LAI Huodi，LAI Lihui.//Medical Innovation of China，2018，15(03)：131-134
, 百拇医药
【Abstract】 Objective：To investigate the clinical effect of ligation in laparoscopic myomectomy for large uterus myoma.Method：From January 2015 to January 2016，52 cases with myomectomy of large uterus in our hospital were selected，they were divided into the observation group and the reference group according to the parity number of the admission number and tail number，26 cases in each group.The patients in the reference group were treated with laparoscopic suture，patients in the observation group were treated by ligation，the application effects of the two groups were compared.Result：The intraoperative blood loss，operation time and length of stay in the observation group were better than those of the reference group，the differences were statistically significant(P<0.05).The incidence of postoperative adverse reactions in the observation group was 3.85%(1/26)，lower than 34.62%(9/26)in the reference group，the difference was statistically significant( 字2=7.924，P=0.005).Besides，the patients were followed up for one year after discharge，no recurrence occurred in the two groups.Conclusion：The ligation method is effective in laparoscopic myomectomy of large uterus myoma，effectively reduce the incidence of postoperative adverse reactions in patients，it can be popularized and applied clinically.
, http://www.100md.com
【Key words】 Ligation； Laparoscope； Myomectomy of large uterus
First-author’s address：Huazhou People’s Hospital，Huazhou 525100，China
doi：10.3969/j.issn.1674-4985.2018.03.036
子宮肌瘤是女性生殖器官常见良性肿瘤，也是人们常称的子宫平滑肌瘤、子宫纤维瘤、纤维肌瘤，按照其生长位置，常将其分为黏膜下肌瘤、肌壁间肌瘤、阔韧带肌瘤、浆膜下肌瘤等，不同类型的子宫肌瘤其临床症状也不尽相同，但多数患者常表现为月经增多、排尿排便困难、下腹部包块等，35岁妇女是该疾病的高发群体，手术治疗作为该疾病患者首选治疗方式，近年来随着腹腔镜技术的完善，腹腔镜下大子宫肌瘤剔除术临床应用愈发广泛，但术中缝合方式一直是该手术开展的难点，一旦操作不当势必影响手术疗效，滋生并发症，给患者增添新的痛苦[1-3]。本文旨在探讨套扎法在腹腔镜下大子宫肌瘤剔除术中的应用效果，以期为患者打造一种安全高效的缝合法，减少术中出血量，缓解患者的病痛，降低住院费用的支出，实现最佳治疗效果，现报道如下。
1 资料与方法
1.1 一般资料 随机选取2015年1月-2016年1月前来本院接受大子宫肌瘤剔除术的52例患者，按照住院号尾号的奇偶将患者分为观察组和参照组，每组26例。纳入标准：所有入选患者入院后经过严格检查，均确诊为大子宫肌瘤，患者均同意参与研究，且患者均有排尿排便不畅、月经增多及下腹部包块等临床症状。排除病情恶化或有不良入院记录者，保证研究的科学性和严谨性。本次研究经伦理学委员会批准，患者均同意参与研究。, http://www.100md.com(赖火娣 赖丽辉)
【关键词】 套扎法； 腹腔镜； 大子宫肌瘤剔除术
Observation on the Effect of Ligation in Laparoscopic Myomectomy for Large Uterus Myoma/LAI Huodi，LAI Lihui.//Medical Innovation of China，2018，15(03)：131-134
, 百拇医药
【Abstract】 Objective：To investigate the clinical effect of ligation in laparoscopic myomectomy for large uterus myoma.Method：From January 2015 to January 2016，52 cases with myomectomy of large uterus in our hospital were selected，they were divided into the observation group and the reference group according to the parity number of the admission number and tail number，26 cases in each group.The patients in the reference group were treated with laparoscopic suture，patients in the observation group were treated by ligation，the application effects of the two groups were compared.Result：The intraoperative blood loss，operation time and length of stay in the observation group were better than those of the reference group，the differences were statistically significant(P<0.05).The incidence of postoperative adverse reactions in the observation group was 3.85%(1/26)，lower than 34.62%(9/26)in the reference group，the difference was statistically significant( 字2=7.924，P=0.005).Besides，the patients were followed up for one year after discharge，no recurrence occurred in the two groups.Conclusion：The ligation method is effective in laparoscopic myomectomy of large uterus myoma，effectively reduce the incidence of postoperative adverse reactions in patients，it can be popularized and applied clinically.
, http://www.100md.com
【Key words】 Ligation； Laparoscope； Myomectomy of large uterus
First-author’s address：Huazhou People’s Hospital，Huazhou 525100，China
doi：10.3969/j.issn.1674-4985.2018.03.036
子宮肌瘤是女性生殖器官常见良性肿瘤，也是人们常称的子宫平滑肌瘤、子宫纤维瘤、纤维肌瘤，按照其生长位置，常将其分为黏膜下肌瘤、肌壁间肌瘤、阔韧带肌瘤、浆膜下肌瘤等，不同类型的子宫肌瘤其临床症状也不尽相同，但多数患者常表现为月经增多、排尿排便困难、下腹部包块等，35岁妇女是该疾病的高发群体，手术治疗作为该疾病患者首选治疗方式，近年来随着腹腔镜技术的完善，腹腔镜下大子宫肌瘤剔除术临床应用愈发广泛，但术中缝合方式一直是该手术开展的难点，一旦操作不当势必影响手术疗效，滋生并发症，给患者增添新的痛苦[1-3]。本文旨在探讨套扎法在腹腔镜下大子宫肌瘤剔除术中的应用效果，以期为患者打造一种安全高效的缝合法，减少术中出血量，缓解患者的病痛，降低住院费用的支出，实现最佳治疗效果，现报道如下。
1 资料与方法
1.1 一般资料 随机选取2015年1月-2016年1月前来本院接受大子宫肌瘤剔除术的52例患者，按照住院号尾号的奇偶将患者分为观察组和参照组，每组26例。纳入标准：所有入选患者入院后经过严格检查，均确诊为大子宫肌瘤，患者均同意参与研究，且患者均有排尿排便不畅、月经增多及下腹部包块等临床症状。排除病情恶化或有不良入院记录者，保证研究的科学性和严谨性。本次研究经伦理学委员会批准，患者均同意参与研究。, http://www.100md.com(赖火娣 赖丽辉)