罗氏穹隆杯在腹腔镜全子宫切除术中的应用价值  

Application of the Luo’s fornix cup in laparoscopic total hysterectomy

作　　者：罗新[1] 王晓玉[1] 沈媛[1] 王文慧[1] 帅翰林[1] 

机构地区：[1]暨南大学附属第一医院妇产科,广州510630

出　　处：《中国微创外科杂志》2006年第12期983-985,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨罗氏穹隆杯在腹腔镜全子宫切除术中的应用价值。方法2004年10月～2005年2月，对7例有手术切除子宫指征者，脐孔置45。腹腔镜，脐耻间一个操作孔置超声刀，切断双侧圆韧带、卵巢固有韧带和输卵管近端、子宫动静脉、部分主韧带、膀胱宫颈韧带和宫骶韧带。术中应用罗氏穹隆杯定位撑开阴道穹隆。超声钩环形切开阴道前穹隆，从阴道取出罗氏穹隆杯，剪开后穹隆，将子宫自阴道取出，缝合阴道残断。结果7例手术均获成功，手术时间90～250min，手术者易于辨认和旋切阴道穹隆顶端，暴露充分，无一例膀胱、输尿管、直肠等重要脏器的损伤。结论罗氏穹隆杯是腹腔镜下全子宫切除术理想的手术辅助器械，有较高的临床应用价值。Objective To explore the clinical value of the Luo＇ s fornix cup in laparoscopic total hysterectomy. Methods A total of 7 patients with indications for hysterectomy from October 2004 to February 2005 was given laparoscopic total hysterectomy. During the operation, the Luo＇ s fornix cup was used for the orientation and dilatation of the vaginal fornix. Then the anterior vaginal fornix was circlewise incised by using a harmonic hook to extract the Luo＇ s fornix cup. Afterwards the posterior fornix was opened to remove the uterus by way of the vagina. And finally the vaginal stump was closed. Results All the operations were successfully completed. The operation time was 90 -250 min. With the use of the Luo＇ s fornix cup, the operator could easily identify the top of the vaginal fornix, and avoid the damage of important neighbouring organs. No injuries of bladder, ureter, and rectum were noted. Conclusions The Luo＇ s fornix cup is a rational accessory instrument in laparoscopic hysterectomy, being worthy of recommendation.

关 键 词：全子宫切除术 罗氏穹隆杯 腹腔镜 

分 类 号：R713.42[医药卫生—妇产科学] R608[医药卫生—临床医学]