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

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。

Clinical application of uterus-lifted-equipment and LigaSure in total laparoscopic hyster-ectomy

Objective:To investigate the effect of combined application of the uterus-lifted-equipment and LigaSure 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 of vagina in group I were also significantly less than that in group II（P＜0.05）.Conclusion:Total laparoscopic hysterectomy 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.