腹腔镜下子宫肌瘤切除术中标本不同取出方式临床分析  

Clinical analysis of different ways of extraction of the myomas in laparoscopic hysteromyomectomy

作　　者：梁茵 史玉林[1] 刘岩松[1] 牛菊敏[1] LIANG Yin;SHI Yu-lin;LIU Yan-song;NIU Ju-min(Shenyang Women and Chiledren's Hospital,Shenyang 110011,China)

机构地区：[1]沈阳市妇婴医院妇科,辽宁沈阳110011

出　　处：《中国实用妇科与产科杂志》2019年第6期689-692,共4页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：沈阳市科技计划项目(18-014-4-76)

摘　　要：目的探讨腹腔镜下子宫肌瘤切除术中经阴道后壁中段切口取出标本与常规旋切取出的效果对比。方法回顾性分析沈阳市妇婴医院2017年6月至2018年6月妇科病房收治的腹腔镜下子宫肌瘤切除术患者70例,其中经阴道后壁中段切口取标本36例(研究组),经分碎器常规旋切取标本34例(对照组)。结果 70例患者手术均顺利完成,其中标本套袋后经阴道后壁中段切口途径均顺利取出,标本袋无破损,无手术并发症发生。研究组与对照组手术时间[(106.58±10.24)min vs.(104.32±10.58)min]、术中出血量[(88.89±41.60)mL vs.(88.82±46.76)mL]比较,差异均无统计学意义(P>0.05)。随诊术后阴道切口愈合良好。结论腹腔镜下子宫肌瘤切除术经阴道后壁中段切口取出标本与常规旋切方式比较,不增加手术时间与出血量,符合微创原则,便捷有效。Objective To investigate difference in the extraction of specimens between via the middle part incision of posterior vagina and via morcellation.Methods A retrospective analysis was performed in 70 cases of laparoscopic hystero myomectomy admitted to the gynecological ward from June 2017 to June 2018 in Shenyang Women and Children’s Hospital;tissue extraction was accomplished in a specimen retrieval bag via middle part incision of posterior vagina in 36 cases,while 34 cases through morcellation.Results All the 70 patients with uterine fibroids underwent laparoscopic surgery successfully.The specimen was extracted via middle part incision of posterior vagina or through morcelation.The retrieval bags were not damaged and no complications occurred.The operation time and blood loss were compared between the two groups,and there was no significant difference[(106.58±10.24)min vs.(104.32±10.58)min,(88.89±41.60)mL vs.(88.82±46.76)mL,P>0.05].The vaginal incision healed well in follow-up.Conclusion The middle part incision of posterior vagina took great advantage of the nature path.The way of the extraction is an efficacious and minimally morbid technique for removing the intact entrapped specimen after laparoscopic myomectomy.It is feasible and easy to grasp.

关 键 词：子宫肌瘤 腹腔镜 阴道切口 标本取出 

分 类 号：R713.4[医药卫生—妇产科学]