摘要
盆腔粘连是妇科手术后常见的并发症,可引起急性复发性肠梗阻、不孕不育、慢性盆腔痛等,且临床治疗费用较高。手术创伤是导致术后粘连的主要因素,故微创手术理念至关重要。达芬奇机器人手术系统是继腹腔镜技术之后的重大突破,开辟了妇科微创手术的新途径。本文就盆腔粘连形成的机制、病因及达芬奇机器人手术系统针对盆腔粘连的预防与应用的优势做一综述。
Pelvic adhesion is a common complication after gynecological surgery,which can cause acute recurrent intestinal obstruction,infertility,chronic pelvic pain and so on.Surgical trauma is the main factor leading to postoperative adhesion,which makes minimally invasive surgery specially important.Da Vinci robot-assisted laparoscopic surgery system is a major breakthrough after laparoscopic technology,which opens up a new way of minimally invasive surgery in gynecology.This article reviews the mechanism and etiology of pelvic adhesions and the advantages of Da Vinci robotic surgery system in the prevention and treatment of pelvic adhesions.
作者
那晶
葛静
王军
李亚
刘鑫
NA Jing;GE Jing;WANG Jun;LI Ya;Liu Xin(Department of Obstetrics and Gynecology,the Second Hospital of Dalian Medical University,Dalian 116027,China;Department of Obstetrics and Gynecology,General Hospital of Northern Theater Command of PLA,Shenyang 110045,China)
基金
军委后勤保障部计生专项(19JSZ13)
国家重点研发计划(2018YFC1002700,2018YFC1002703)。
关键词
机器人手术系统
盆腔粘连
预防
治疗
Robot-assisted laparoscopic
Pelvic adhesion
Prevention
Treatment
