机器人辅助腹部骶骨固定术的研究进展  

Research Progress in Robotic-Assisted Sacrocolpopexy

作　　者：刘畅[1] 杨盼盼 张傢钧 刘翠萍 倾丽梅 王晓慧[1] LIU Chang;YANG Pan-pan;ZHANG Jia-jun;LIU Cui-ping;QING Li-mei;WANG Xiao-hui(First Clinical Medical College of Lanzhou University,Gansu Provincial Key Laboratory of Gynecologic Oncology,Lanzhou 730000,China)

机构地区：[1]兰州大学第一临床医学院甘肃省妇科肿瘤重点实验室

出　　处：《国际妇产科学杂志》2019年第4期374-377,共4页Journal of International Obstetrics and Gynecology

摘　　要：随着年龄、肥胖以及分娩等多种危险因素的增加,盆腔器官脱垂(POP)已经成为成年女性的常见疾病。而POP的治疗与管理具有明显的个体性与多样性,需根据患者个体情况从多种策略中选择最优策略。其中手术策略也从最初的开腹手术发展为腹腔镜微创技术,以及现在的机器人微创技术。机器人辅助腹部骶骨固定术(RASC)作为新兴的手术技术越来越受到关注。近期研究表明,RASC不但具有失血少、内部恢复快、补片暴露风险小等优点,而且其术后短中期修复效果与经腹骶骨固定术(ASC)相当。虽然RASC存在较长的学习曲线、长期疗效尚未明确以及高成本等局限,但随着该技术的发展这些问题将逐渐被克服。Pelvic organ prolapse(POP)has become a common condition in adult women as risk factors such as age,obesity and childbirth increase.The treatment and management of POP are obviously individualized and diversed,and the optimal strategy should be selected from a variety of strategies according to the individual situation of patients.The surgical strategy also developed from the initial open surgery to minimally invasive laparoscopic technology,and now the minimally invasive robotic technology.Robotic-assisted sacrocolpopexy(RASC)is an emerging surgical technique.Recent studies have shown that RASC not only has the advantages of less blood loss,faster internal recovery,and less risk of mesh exposure,but its short-term and medium-term postoperative repair effect is similar to that of abdominal sacrocolpopexy(ASC).Although RASC has a long learning curve,unclear long-term efficacy and high cost,these problems will be gradually overcome by the development of this technology.

关 键 词：内脏下垂 骶骨 机器人手术 腹腔镜检查 生活质量 

分 类 号：R713[医药卫生—妇产科学]