不同阴道断端缝合方案对行微创全子宫切除术患者手术相关临床指标及术后并发症的影响(3)
综上所述，相较于常规阴道断端缝合方案，改良阴道断端缝合方案用于行微创全子宫切除术可有效缩短手术用时，降低医源性创伤水平，并有助于避免术后并发症出现。
[参考文献]
[1] Jallad K， Siff L， Thomas T， et al. Salpingo-Oophorectomy by Transvaginal Natural Orifice Transluminal Endoscopic Surgery [J]. Obstet Gynecol， 2016， 128(2)： 293-296.
[2] Jallad K， Siff L， Thomas T， et al. Salpingooophorectomy by transvaginal natural orifice transluminal endoscopic surgery [J]. Obstet Gynecol， 2016， 128(2)： 293-296.
[3] Peng C，Ling Y，Ma C，et al.Safety outcomes of NOTES cholecystectomy versus laparoscopic cholecystectomy： a systematic review and meta-analysis[J].Surg Laparosc Endosc Percutan Tech， 2016， 26(5)： 347-353.
[4] Uccella S， Malzoni M， Cromi A， et al. Laparoscopic vs. Transvaginal Cuff Closure After Total Laparoscopic Hysterectomy： A Randomized Trial by the Italian Society of Gynecologic Endoscopy [J]. Am J Obstetrics Gynecology， 2018， 218(5)： 500，e1-500，e13.
[5] Baekelandt J， De Mulder PA， Le Roy I， et al. Postoperative-outcomes and quality of life following hysterectomy by natural orifice transluminalendoscopic surgery ( NOTES ) compared to laparoscopy in women witha non-prolapsed uterus and benign gynaecological disease：a systematic review and meta-analysis [J]. Eur J Obstet Gynecol Reprod Biol， 2016， 29(208)： 6-15.
[6] Moravek MB， Yin P， Ono M， et al. Ovarian steroids，stem cells and uterine leiomyoma： therapeutic implications [J]. Hum Reprod Update， 2015， 21(1)： 1-12.
[7] 刘维，李梅，黄淑贞.腹腔镜下全子宫切除术中阴道殘端经镜下及经阴道缝合对患者预后的影响观察[J].基层医学论坛，2017，21(10)：1162-1163.
[8] Lee YH， Chong GO， Kim MJ， et al. Overcoming the learning curve of single-port total laparoscopic hysterectomy with barbed suture： a single surgeon's initial experience[J]. Wideochir Inne Tech Maloinwazyjne， 2017， 12(3)：264-270.
[9] Karacan T， Ozyurek E， Usta T， et al. Comparison of barbed unidirectional suture with figure-of-eight standard sutures in vaginal cuff closure in total laparoscopic hysterectomy [J]. J Obstetrics Gynaecology， 2018， 33(8)： 106-111.
[10] 梅松原，石岩，曹黎娜，等. 腹腔镜子宫全切术两种镜下阴道残端缝合方法的疗效对比[J].腹腔镜外科杂志，2016，33(6)：413-416.
(收稿日期：2019-06-20), http://www.100md.com(周丽丽 薛金铃)
[参考文献]
[1] Jallad K， Siff L， Thomas T， et al. Salpingo-Oophorectomy by Transvaginal Natural Orifice Transluminal Endoscopic Surgery [J]. Obstet Gynecol， 2016， 128(2)： 293-296.
[2] Jallad K， Siff L， Thomas T， et al. Salpingooophorectomy by transvaginal natural orifice transluminal endoscopic surgery [J]. Obstet Gynecol， 2016， 128(2)： 293-296.
[3] Peng C，Ling Y，Ma C，et al.Safety outcomes of NOTES cholecystectomy versus laparoscopic cholecystectomy： a systematic review and meta-analysis[J].Surg Laparosc Endosc Percutan Tech， 2016， 26(5)： 347-353.
[4] Uccella S， Malzoni M， Cromi A， et al. Laparoscopic vs. Transvaginal Cuff Closure After Total Laparoscopic Hysterectomy： A Randomized Trial by the Italian Society of Gynecologic Endoscopy [J]. Am J Obstetrics Gynecology， 2018， 218(5)： 500，e1-500，e13.
[5] Baekelandt J， De Mulder PA， Le Roy I， et al. Postoperative-outcomes and quality of life following hysterectomy by natural orifice transluminalendoscopic surgery ( NOTES ) compared to laparoscopy in women witha non-prolapsed uterus and benign gynaecological disease：a systematic review and meta-analysis [J]. Eur J Obstet Gynecol Reprod Biol， 2016， 29(208)： 6-15.
[6] Moravek MB， Yin P， Ono M， et al. Ovarian steroids，stem cells and uterine leiomyoma： therapeutic implications [J]. Hum Reprod Update， 2015， 21(1)： 1-12.
[7] 刘维，李梅，黄淑贞.腹腔镜下全子宫切除术中阴道殘端经镜下及经阴道缝合对患者预后的影响观察[J].基层医学论坛，2017，21(10)：1162-1163.
[8] Lee YH， Chong GO， Kim MJ， et al. Overcoming the learning curve of single-port total laparoscopic hysterectomy with barbed suture： a single surgeon's initial experience[J]. Wideochir Inne Tech Maloinwazyjne， 2017， 12(3)：264-270.
[9] Karacan T， Ozyurek E， Usta T， et al. Comparison of barbed unidirectional suture with figure-of-eight standard sutures in vaginal cuff closure in total laparoscopic hysterectomy [J]. J Obstetrics Gynaecology， 2018， 33(8)： 106-111.
[10] 梅松原，石岩，曹黎娜，等. 腹腔镜子宫全切术两种镜下阴道残端缝合方法的疗效对比[J].腹腔镜外科杂志，2016，33(6)：413-416.
(收稿日期：2019-06-20), http://www.100md.com(周丽丽 薛金铃)