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  

Application of bidirectional barbed absorbable self-retaining suture in laparoscopic myomectomy

作　　者：侯文杰[1] 徐建英[1] 陈洁[1] 李珉[1] 周影[1] 陈友国[1] Hou Wenjie;Xu Jianying;Chen Jie;Li Min;Zhou Ying;Chen Youguo(Gynecology and Obstetrics Department, the First Affiliated Hospital o f Soochow University, Suzhou 215006, China)

机构地区：[1]苏州大学附属第一医院妇产科,苏州215006

出　　处：《新医学》2016年第10期695-698,共4页Journal of New Medicine

摘　　要：目的探讨双向倒刺可吸收自封缝合线在腹腔镜子宫肌瘤剔除术中的应用价值,评价其在减少术中出血、缩短手术时间的临床效果。方法收集196例腹腔镜下子宫肌瘤剔除术患者的临床资料,按患者术中使用的缝合线分为A组和B组,其中A组98例患者使用常规缝合线(1号VICRYL线),B组98例患者使用双向倒刺可吸收自封缝合线(1号QUILLTMSRS),观察2组患者的手术时间、术中出血量、住院时间以及术后血红蛋白等指标的差异。结果与A组患者比较,B组患者的手术时间较短、术中出血量较少、术后血红蛋白较高(P均<0.05);2组患者的术后发热率及住院时间比较差异均无统计学意义(P均>0.05)。2组患者在术后均未出现粘连性肠梗阻及继发性出血等并发症。结论在腹腔镜下子宫肌瘤剥除术中,使用双向倒刺可吸收自封缝合线缝合瘤腔创面可在不增加术后并发症的同时有效减少术中出血量、缩短手术时间、降低手术风险。Objective To investigate the clinical value of bidirectional barbed absorbable self-retaining suture in laparoscopic myomectomy and to evaluate the clinical efficacy of reducing intraoperative blood loss and shortening operation time. Methods Clinical data of 196 patients undergoing laparoscopic myomectomy in our hospital were retrospectively analyzed. The patients were divided into two groups : group A ( conventionalVicryl suture; n =9S) and group B ( bidirectional barbed absorbable self-retaining suture ( QUILL?SRS; n = 9S). Operation time, intraoperative blood loss, length of hospital stay and postoperative hemoglobinlevel were statistically compared between two groups. Results Compared with those in group A , patients ingroup B had significantly shorter operation time, less intraoperative blood loss and higher level of postoperativehemoglobin ( all P < 0. 05 ). The incidence of postoperative fever and length of hospital stay did not significantlydiffer between two groups ( both P > 0. 05 ). Neither adhesive intestinal obstruction nor secondary hemorrhage occurred after surgery. Conclusions Bidirectional barbed absorbable self-retaining suture is applicable for the laparoscopic myomectomy, which does not increase the incidence of postoperative complications, but reduces intraoperative blood loss, shortens operation time and minimizes surgical risk.

关 键 词：倒刺缝合线 腹腔镜 子宫肌瘤 

分 类 号：R737.33[医药卫生—肿瘤]