腹壁缝合器在腹腔镜10 mm以上穿刺孔缝合中的应用价值

doi:10.7504/fk2014040112

摘要/Abstract

摘要：

目的探讨自行设计的腹壁缝合器在腹腔镜手术10 mm以上穿刺孔缝合中的临床价值。方法选取2010年10月至2012年10月于中国医科大学附属盛京医院妇科因子宫肌瘤、子宫腺肌病行腹腔镜子宫肌瘤和（或）腺肌瘤剔除术或腹腔镜次全子宫切除术者共300例，随机分为研究组（腹壁缝合器组）及对照组（常规缝合组）各150例，采集临床资料，记录腹壁穿刺孔并发症发生情况。结果 2组患者年龄、体质指数、内科合并症、既往手术史、手术时间、10 mm以上穿刺孔个数及术后随访时间比较，差异无统计学意义（P>0.05），研究组10 mm以上穿刺孔缝合时间明显短于对照组[（3.0±1.5）min vs. （6.0±1.2）min，P<0.05 ]，而并发症发生率却低于对照组（0 vs. 2.67%，P<0.05），主要为穿刺孔出血及穿刺孔疝。结论腹壁缝合器可在直视下缝合腹壁穿刺孔，减少穿刺孔出血及穿刺孔切口疝的发生，从而辅助腹腔镜手术获得更好的临床效果。

关键词: 腹壁缝合器, 穿刺孔并发症, 疝, 腹腔镜

Abstract:

Abstract:Objective To investigate the clinical value of the patented abdominal wall stitching instrument used in suturing the laparoscopic ＞10 mm trocar incision. Methods 300 patients，divided into test group and control group，with uterine myoma or adenomyosis taken laparoscopic treatment were chosen to assess the clinical data and followed up to search the occurrence of trocar-site complication. Results There were no significant differences between the two groups about age,body mass index(BMI),internal complications,previous surgery history,operational time,number of ＞10 mm trocar and follow-up time. The suture time of trocar site （＞10 mm）of test group is significantly shorten than control group（P<0.05）.The complication incidence rate of test group is less than control group(P<0.05). Conclusion The patented abdominal wall stitching instrument can suture the ＞10 mm trocar incision under laparoscopic direct vision,prevent the incidence of trocar-site bleeding and hernia effectively.

Key words: abdominal wall stitching instrument, trocar-site complication, hernia, laparoscopy 

中图分类号:

R711.74

王丹丹，杨清，王光伟. 腹壁缝合器在腹腔镜10 mm以上穿刺孔缝合中的应用价值[J]. 中国实用妇科与产科杂志, DOI: 10.7504/fk2014040112.

WANG Dan-dan,YANG Qing,WANG Guang-wei. Clinical application of the patented abdominal wall stitching instrument in suturing the laparoscopic trocar incision over 10mm-long[J]. Acta Metallurgica Sinica, DOI: 10.7504/fk2014040112.

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