腹腔镜下行全子宫切除术中举宫杯联合LigaSure的临床应用价值

摘要

目的：：探讨举宫杯及LigaSure在腹腔镜全子宫切除术( TLH)的应用价值。方法：将2007年1月至2010年12月在我院实施腹腔镜全子宫切除术324例患者分为两组。 I组用举宫杯及LigaSure完成手术,II组用简易举宫器及单极电凝。比较分析两组手术时间、出血量、下推膀胱时间、术后并发症等情况。结果：I组、II组各有1例中转开腹。 I组手术时间、下推膀胱时间明显少于II组(P<0.05)。出血量及环切阴道时间亦明显少于II组(P<0.05)。结论：举宫杯及LigaSure在腹腔镜全子宫切除术中安全、有效、手术时间短、出血少、并发症少,极大降低了手术难度,在有条件的医院值得推广。%Objective:To investigate the effect of combined application of the uterus-lifted-equipment and Li-gaSure in total laparoscopic hysterectomy. Methods:All 324 patients who underwent TLH in our hospital from 2007 to 2010 were divided into two groups. Group I used uterus-lifted-equipment and LigaSure. Group II used simple uterus-lifted-device and monopolar coagulation. The operation time,amount of bleeding,the time of separating bladder from cervix,postoperative complications of the two groups were compared. Results:There was a case of conversion to open surgery in two groups,respectively. The operation time and the time of separating bladder from cervix in group I were significantly shorter than that in group II (P<0. 05). The amount of bleeding and the time of circumcision ofvagina in group I were also significantly less than that in group II(P<0. 05). Conclusion:Total laparoscopic hysterec-tomy with the uterus-lifted-equipment and LigaSure was safe and effective,had shorter operation time,less bleeding in the course of surgery,fewer complications,which greatly lowered the operative difficulty.