自制取物袋应用于腹腔镜子宫肌瘤切除术的临床研究  

Clinical study of self-made specimen bag for laparoscopic hysteromyomectomy

作　　者：张璇 王崇德[1] 田学鹏 张艳红[1] 李绪芹 张师前[2] 周克水 ZHANG Xuan;WANG Chong-de;TIAN Xue-peng(Department of Gynecology,Women and Children’s Health Care Hospital of Huantai,Zibo 256400,China)

机构地区：[1]桓台县妇幼保健院妇科,山东淄博256400 [2]山东大学齐鲁医院妇产科

出　　处：《腹腔镜外科杂志》2021年第9期699-702,共4页Journal of Laparoscopic Surgery

摘　　要：目的:探讨自制取物袋经脐取瘤技术与充气式可视性密闭取物装置电动分碎器取瘤术在腹腔镜单发子宫肌瘤切除术中的临床应用,评价自制取物袋在腹腔镜子宫肌瘤切除术中的应用价值。方法:将2018年2月至2019年5月行腹腔镜子宫肌瘤切除术的患者随机分组,其中57例采用自制取物袋经脐取瘤技术(观察组),49例采用充气式可视性密闭取物装置电动分碎器取瘤术(对照组),对比分析两组手术相关指标。结果:观察组肌瘤取出时间[(15.79±2.64)min vs.(20.86±2.82)min]、手术时间[(42.33±2.51)min vs.(43.96±2.73)min]、切口疼痛时间[(48.23±3.03)h vs.(71.14±5.88)h]、住院时间[(67.46±2.90)h vs.(90.84±5.28)h]、住院费用[(15177.00±988.71)元vs.(19577.00±727.42)元]均优于对照组。结论:自制取物袋取瘤安全、可靠,符合无瘤防御理念,操作简便,可降低手术后切口疼痛,具有卫生经济学优势。Objective:To explore the clinical application of transumbilical tumor extraction technology with self-made bag and tumor removal with inflatable visible closed retrieval device electric separator in laparoscopic single hysteromyomectomy,and to evaluate the value of self-made bag in laparoscopic myomectomy.Methods:Patients who underwent laparoscopic single hysteromyomectomy from Feb.2018 to May 2019 were randomly divided into observation group(n=57)and control group(n=49).Relevant data of the patients and the pros and cons of transumbilical tumor extraction technology with self-made bag(observation group)and tumor removal with inflatable visible closed retrieval device electric separator(control group)in single hysteromyomectomy were compared and analyzed.Results:The fibroids removal time[(15.79±2.64)min vs.(20.86±2.82)min],operation time[(42.33±2.51)min vs.(43.96±2.73)min],incision pain time[(48.23±3.03)h vs.(71.14±5.88)h],hospital stay[(67.46±2.90)h vs.(90.84±5.28)h]of observation group were shorter than those of control group;hospitalization expenses[(15177.00±988.71)yuan vs.(19577.00±727.42)yuan]of the observation group was less than that of control group.Conclusions:The self-made bag for tumor removal is not only safe and reliable,but also conforms to the concept of tumor-free defense.This procedure is easy to operate,reduces postoperative incision pain,and has advantages in health economics.

关 键 词：子宫肌瘤 腹腔镜检查 自制取标本袋 

分 类 号：R713.4[医药卫生—妇产科学]