942022Vol.9No.11ElectronicJournalofPracticalGynecologicalEndocrinology•诊断技术•腹腔冲洗液SCs检测对腹腔镜下肌瘤剔除术并发症的预测价值研究陈菊▲，胡小红，马力，计峰，韦华荣（广西科技大学第一附属医院妇科，广西柳州545002）【摘要】目的探讨腹腔冲洗液梭形细胞（SCs）检测对腹腔镜下肌瘤剔除术并发症的预测价值。方法选取于本院妇科住院行腹腔镜下肌瘤剔除术治疗的110例患者为研究对象，根据随机数字表法分为研究组（54例）及对照组（56例），研究组采用自制袋内旋切取瘤，对照组采用传统旋切器常规裸切取瘤。分析两组旋切后关腹前腹腔冲洗液的SCs检测情况。结果研究组腹腔冲洗液脱落细胞学检测中SCs阳性检出率为11.11%，低于对照组的26.79%，差异有统计学意义（P＜0.05）。结论经腹腔冲洗液SCs检测证实，腹腔镜下子宫肌瘤剔除术自制袋内旋切可安全有效地减少瘤沫飞溅，预防播散种植、寄生等并发症的发生，经济、有效、实用，值得临床推广。【关键词】腹腔冲洗液；肌瘤剔除术；梭形细胞；预测StudyonthepredictivevalueofperitoneallavagefluidSCsdetectioninthecomplicationsoflaparoscopicmyomectomyChenJu,HuXiaohong,MaLi,JiFeng,WeiHuarong(DepartmentofGynecology,theFirstAffiliatedHospitalofGuangxiUniversityofScienceandTechnology,Liuzhou545002,China)【Abstract】ObjectiveToinvestigatethepredictivevalueofperitoneallavagefluidspindlecells(SCs)detectionforcomplicationsinlaparoscopicmyomectomy.MethodsAtotalof110inpatientswhounderwentlaparoscopicmyomectomyintheDepartmentofGynecologyofourhospitalwereselectedastheresearchobjects.Accordingtotherandomnumbertablemethod,theyweredividedintothestudygroup(n=54)andthecontrolgroup(n=56).Inthestudygroup,thetumorwasharvestedbyinternalrotationinself-madebag,whileinthecontrolgroup,thetumorwasharvestedbyconventionalnakedrotation.TheSCsdetectionofperitoneallavagefluidbeforeabdominalclosureafterrotaryincisionwasanalyzedintwogroups.ResultsThepositivedetectionrateofSCsinthestudygroupwas11.11%,whichwaslowerthan26.79%inthecontrolgroup,thedifferencewasstatisticallysignificant(P＜0.05).ConclusionTheresultsofSCstestshowedthatlaparoscopicmyomectomywithself-madebaginternalrotationcansafelyandeffectivelyreducethespa...
