杯状举宫器在腹腔镜全子宫切除术中的应用  

Application of cup-type uterine manipulateor in total laparoscopic hysterectomy

作　　者：张桦 李鸿雁 伍柏娇 

机构地区：[1]广州市越秀区妇幼保健院妇产科,510030

出　　处：《中国实用医药》2010年第19期28-29,共2页China Practical Medicine

摘　　要：目的探讨用杯状举宫器行腹腔镜全子宫切除(TLH)与用举宫棒行腹腔镜全子宫切除两种术式的临床应用效果。方法 2006年4月至2009年2月有手术指征的子宫肌瘤,子宫腺肌症,功能性子宫出血,CIN3共100例,运用杯状举宫器行TLH70例,用举宫棒行TLH30例,两组均采用双极电凝完成子宫切除,比较两种术式的临床效果。结果 TLH2组比TLH1组手术时间短,术中出血少,肛门排气快时间,住院时间短,差异有统计学意义(P<0.05),TLH1组并发症少。结论使用杯状举宫器行腹腔镜下全子宫切除术,提高了手术的安全性且操作简捷,解决分离膀胱输尿管困难、切开阴道穹窿界限不清技术难题和降低手术费用等问题,有利于腹腔镜子宫切除术的普及推广。Objective To investigate the clinical application effects of cup-type uterine manipulator and stick-type uterine manipulator in total laparoscopic hysterectomy （TLH）. Methods 100 cases with the op- erative indication of hysteromyoma, Uterine adenomyosis, dysfunctional uterine bleeding, CIN3. Total laparo- scopic hysterectomy （TLH） was employed on all the cases, while using cup-type uterine manipulator in 70 cases, the other 30cases using stick-type uterine manipulator. Both of the two groups complete the TLH by using b/polar coagulation. Compare the effects of the two different operative patterns. Results Compare with TLH2 group, TLH1 group took less time, less bleeding volume in operation, earlier anus exhaust, and shorter length of stay. The difference is statistical significance, with P 〈 0.05. Besides, TLH1 group has less complication. Conclusion Use of the cup-type uterine manipulator in total laparoscopic hysterectomy makes the procedure easier and safer. It solves many problems, including the difficulty in separating the vesicoureter, the skill in cutting open the vaginal fornix, and the charge of the operation. It is benefit for the THL to be popularized.

关 键 词：腹腔镜 全子宫切除 杯状举宫器 

分 类 号：R713.42[医药卫生—妇产科学]