摘要
目的:探讨PK钳联合举宫杯在腹腔镜阔韧带子宫肌瘤切除术中的应用价值。方法:自2011年3月为12例患者采用PK钳联合举宫杯行腹腔镜子宫阔韧带子宫肌瘤切除术(研究组),并与2009年3月至2011年3月18例腹腔镜阔韧带子宫肌瘤切除术(对照组)进行对比研究。结果:两组患者无一例发生泌尿系统损伤,与传统腹腔镜手术相比,研究组手术时间短(t=-9.580,P=0.000)、中转开腹率低(χ2=9.21,P=0.017)、术后病率低(χ2=3.92,P=0.043)、出血量少(t=-15.120,P=0.000)。结论:腹腔镜阔韧带子宫肌瘤切除术中联合应用PK钳与举宫杯安全、可行,可显著提高手术效果,减少出血量,降低中转开腹率及手术风险与难度。
Objective：To investigate the application value of plasma kinetic system combined with uterus lifting cup in laparo- scopie treatment of myoma in the broad uterine ligament. Methods：Twelve patients underwent laparoseopie treatment of myoma in the broad uterine ligament using plasma kinetic system combined with uterus lifting cup since Mar. 2011. A retrospective comparison was made between those 12 patients and 18 patients who underwent laparoscopic hysteromyomectomy for uterine myoma in the broad liga- ment from Mar. 2009 to Mar. 2011. Results：Both operations were completed without injury of urinary system. Compared with traditional operations,the cases using plasma kinetic system combined with uterus lifting cup had shorter operative time （ t = -9. 580 ,P =0. 000）, lower rate of conversion to open surgery （ X2 = 9.21, P = 0. 017 ） ,lower febrile morbidity （ X2 = 3.92 ,P = 0. 043 ） and fewer blood loss （ t = -15.120, P = 0. 000 ）. Conclusions ： Using plasma kinetic system combined with uterus lifting cup in laparoseopic treatment of myo- ma in the broad uterine ligament is safe,feasible and effective,can reduce blood loss, conversion rate during operation, the operative dif- ficulty and risk.
出处
《腹腔镜外科杂志》
2013年第8期588-590,共3页
Journal of Laparoscopic Surgery
关键词
阔韧带
平滑肌瘤
子宫肌瘤切除术
腹腔镜检查
PK钳
举宫杯
Broad ligament
Leiomyoma
Hysteromyomectomy
Laparoscopy
Plasma kinetic system
Uterus lifting cup
