[摘要] 目的：探讨举宫器辅助下单孔法腹腔镜输卵管结扎术的应用价值。方法：在举宫器辅助下，对26例有盆腔手术史患者，应用带5 mm操作孔的腹腔镜(operating laparoscope 5 mm)，进行输卵管结扎术，观察其手术效果。结果：26例患者有盆腔粘连18例，全部患者均于腹腔镜下完成手术，无中转开腹，平均手术时间15 min，平均出血5 ml，术后2～3 d出院。结论：有盆腔手术史患者，在举宫器辅助下行单孔法腹腔镜输卵管结扎术安全可靠，值得推广。

    [关键词] 输卵管结扎术；带5 mm操作孔腹腔镜；举宫器；单孔

    [中图分类号]R713 [文献标识码]C [文章编号]1673-7210(2007)08(c)-151-02

    Clinical analysis of 26 cases of uterine manipulator-assisted

    single-pore laparoscopy in tubal sterilization

    DU Min, LIAO Shi, WANG Chun-ping, ZHOU Yun. ZHANG Min

    (The fifth people's Hospital of Shenzhen, Shenzhen518001,China)

    [Abstract] Objective:To investigate the value of uterine manipulator-assisted single-pore laparoscopy in tubal sterilization.Methods:26 cases with uterine manipulator-assisted single-pore laparoscopy in tubal sterilization were retrospectively analysed. Results:Among 26 cases, 18 cases were pelvic adhesion. All the operations were completed successfully under laparoscope,without conversion to open surgery. The mean operation time was 15 minutes;The mean bleeding volume was 5 ml;The mean post-operation hospitalization was 2～3 days. Conclusion:Uterine manipulator-assisted single-pore laparoscopy in tubal sterilization can be carried out safely and it is worthy to be popularized. ......