背带式缝合法在宫颈锥切术中的临床应用  

The clinical application of BRACE suture of cervix on cold knife conization

作　　者：金童[1] 李薛鹏[1] 

机构地区：[1]山东省枣庄市立医院妇产科,277101

出　　处：《中国实用医药》2012年第36期12-14,共3页China Practical Medicine

摘　　要：目的探讨背带式缝合法在宫颈冷刀锥切术中的临床应用。方法 2007年1月至2012年6月行宫颈冷刀锥切术84例,其中采用背带式缝合止血48例(缝合组),采用电凝止血及纱布压迫止血36例(非缝合组)。比较两组手术时间、术中出血、术后出血、术后住院院时间。结果缝合组平均手术时间31min,短于非缝合组短36min(P=0.004);平均术中出血量57ml,明显少于非缝合组76ml(P=0.012);平均术后出血量21ml,少于非缝合组78ml(P=0.001);平均术后住院时间5.6d,少于非缝合组6.7d(P=0.004)。结论背带式缝合在冷刀锥切术中运用,能有效止血,操作简单,并发症少,值得临床运用推广。Objective To investigate the clinical application technique of the BRACE suture of the cervical cold knife conization.Methods A retrospective study was conducted about cervical cold knife conization in 84 cases between January 2007 and June 2012,of which the BRACE suture was 48 patients（suture group） and of which electric coagulation and gauze compressura was 36 cases（non-suture group）,to contrast the mean operating time,mean blood loss,mean postoperative bleeding and mean postoperative hospital staying.Results The mean operative time of suture group was shorter than non-suture group（31 VS.36 min,P=0.004）.Both mean intraoperative blood loss（57 VS.76 ml,P=0.012） and mean postoperalive blood loss（21 VS.78 ml,P=0.001） of the suture group were less than the non-suture group.Postoperative hospital staying of the suture group was shorter than non-suture group（5.6 VS.6.7 d,P=0.004）.Conclusion The BRACE suture with the advantage of effectively hemostasis,simple operation and less complicationsin on cold knife conization,is deserved to spread in clinical application.

关 键 词：冷刀锥切术 宫颈缝合 出血量 

分 类 号：R737.33[医药卫生—肿瘤]