Application of a 'Baseball' Suture Technique in Uterine Myomectomy Following Laparoscopic Enucleation of Uterine Leiomyoma (Fibroid).
Application of a 'Baseball' Suture Technique in Uterine Myomectomy Following Laparoscopic Enucleation of Uterine Leiomyoma (Fibroid).
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“棒球”缝合技术在腹腔镜子宫肌瘤（肌瘤）摘除术后子宫肌瘤切除术中的应用
DOI：
10.12659/msm.909143
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发表时间：
2018-05-09
期刊：
影响因子：
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通讯作者：
Lu H
中科院分区：
文献类型：
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作者：
Xie L;Liu Y;Wang D;Liu C;Zhou H;Lin Z;Lu H
本研究的目的是评价“棒球”缝合技术用于子宫肌瘤切除术切口闭合的安全性和有效性。该研究包括20例采用“棒球”缝合技术进行腹腔镜子宫肌瘤切除术的患者，并与20例采用标准缝合方法进行腹腔镜子宫肌瘤切除术的患者进行比较。比较两组患者的临床特征、围手术期及随访资料。对于研究组来说，与标准组或对照组相比，手术时间明显缩短（60.15±9.97 min vs. 71.85±9.74 min）和恢复时间（18.05±4.71分钟vs. 28.35±3.13分钟）（均p<0.05），术中失血量显著减少（93.25±19.62 ml vs. 121.50±24.87 ml）（p<0.05），术后血红蛋白水平降低明显较少（8.9±1.97 g/L vs. 11.15±2.23 g/L）（p<0.05）。两组患者留置引流管时间、引流量、胃肠功能恢复时间比较差异均无统计学意义（均P>0.05）。手术后，研究组1例患者和对照组2例患者接受输血。每组各有1例患者发热。两组妊娠结局无显著差异。在腹腔镜子宫肌瘤切除术中，用于闭合子宫切口的“棒球”缝合技术是一种安全有效的方法。然而，长期恢复结果需要进一步研究。
The aim of this study was to evaluate the safety and efficacy of a ‘baseball’ suture technique for uterine myomectomy incision closure in laparoscopic surgical enucleation of uterine leiomyoma (fibroid). The study included 20 patients who underwent laparoscopic myomectomy with a ‘baseball’ suture technique, compared with 20 patients who underwent laparoscopic myomectomy with a standard suture method. Clinical characteristics, perioperative and follow-up data were compared between the two groups. For the study group, compared with the standard or control group, had a significantly reduced operation time (60.15±9.97 min vs. 71.85±9.74 min) and suturing time (18.05±4.71 min vs. 28.35±3.13 min) (both p<0.05), significantly less intraoperative blood loss (93.25±19.62 ml vs. 121.50±24.87 ml) (p<0.05) and significantly less reduction in postoperative hemoglobin levels (8.9±1.97 g/L vs. 11.15±2.23 g/L) (p<0.05). There were no statistically significant differences between the two groups in duration of the use of the indwelling drainage tube, drainage volume, or time to recovery of gastrointestinal function (all, p>0.05). Following surgery, blood transfusion was given to one patient in the study group and two patients in the control group. One patient from each group had a fever. There was no significant difference in pregnancy outcomes between the two groups. The ‘baseball’ suture technique for closure of the uterine incision is a safe and effective method for use in laparoscopic myomectomy. However, the long-term recovery outcomes require further study.