微创医学

目的探讨微创型举宫器在妇科良性病变腹腔镜手术中的应用效果。方法妇科良性病变患者597例，其中子宫肌瘤480例，卵巢内膜样囊肿117例。480例子宫肌瘤患者中，282例行腹腔镜下子宫肌瘤剔出术（LM），198例行腹腔镜下全子宫切除术（LTH）。将患者随机分成试验组与对照组，两组患者均接受腹腔镜手术治疗，对照组术中使用YSZ-1型举宫器，试验组术中使用微创型举宫器。比较两组举宫器安装时间、手术时间、术中子宫活动度、术中出血量及术中并发症。结果试验组举宫器安装时间少于对照组，两组比较，差异有统计学意义（P＜0.05）；两组手术时间、术中出血量及并发症发生率比较，差异无统计学意义（P＞0.05）。结论微创型举宫器成本低廉，安装使用方便，并发症少，在临床上有极高的推广价值。

ObjectiveTo investigate the application of micro uterine manipulator in laparoscopic surgery for gynecological benign lesions. Method597 cases of gynecological benign lesions, including 480 cases of uterine fibroids, 117 cases of ovarian endometrial cyst. Among 480 cases with myoma of uterus, 282 cases underwent laparoscopic uterine fibroids cystectomy (LM), 198 cases underwent laparoscopic hysterectomy resection surgery (LTH) . The patients were randomly divided into experimental group and control group, two groups of patients were treated with laparoscopic surgery, the control group was treated with YSZ-1 type lifting device. Installation time, operation time, matrix activity and quantity of bleeding and complications were compared between two groups. ResultInstallation time and operation time of the experiment group were less than those of the control group,the difference was statistically significant (P＜0.05). Quantity of bleeding and complications had no difference between the two groups(P＞0.05). ConclusionNoninvasive uterine manipulator has rather high promotional value, due to low cost, less complication and convenience of application.

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