機(jī)器人輔助經(jīng)腹宮頸環(huán)扎術(shù)的臨床應(yīng)用及技巧（附手術(shù)視頻）

摘要 本研究通過(guò)回顧宮頸環(huán)扎術(shù)應(yīng)用于治療宮頸機(jī)能不全的發(fā)展歷程，分析了經(jīng)陰道、剖腹、腹腔鏡經(jīng)腹和機(jī)器人輔助經(jīng)腹宮頸環(huán)扎術(shù)等不同手術(shù)入路的優(yōu)勢(shì)和不足，著重介紹了機(jī)器人輔助經(jīng)腹宮頸環(huán)扎術(shù)的應(yīng)用現(xiàn)狀，并分享了機(jī)器人輔助經(jīng)腹宮頸環(huán)扎術(shù)的操作經(jīng)驗(yàn)和技術(shù)要領(lǐng)，旨在推廣機(jī)器人輔助經(jīng)腹宮頸環(huán)扎術(shù)的應(yīng)用。

關(guān)鍵詞 宮頸機(jī)能不全；經(jīng)陰道宮頸環(huán)扎術(shù)；腹腔鏡下經(jīng)腹宮頸環(huán)扎術(shù)；機(jī)器人輔助經(jīng)腹宮頸環(huán)扎術(shù)

中圖分類號(hào) R61 R713.4 文獻(xiàn)標(biāo)識(shí)碼 A 文章編號(hào) 2096-7721（2025）02-0336-04

Clinical applications and technical considerations of robot-assisted transabdominal cervical cerclage （with surgical video）

LIU Cheng1， WANG Ying2， TANG Jianming1， HONG Shasha1， LI Bingshu1， HONG Li1

（1. Department of Obstetrics and Gynaecology， Renmin Hospital of Wuhan University， Wuhan 430060， China; 2. Department of Anesthesiology， the Central Hospital of Wuhan， Tongji Medical College， Huazhong University of Science and Technology， Wuhan 430014， China）

Abstract By reviewing the development process of cervical cerclage in the treatment of cervical insufficiency， the advantages and disadvantages of different surgical approaches including transvaginal， laparotomy， laparoscopic and robot-assisted transabdominal cervical cerclage（RA-TAC）are analyzed in this paper. The clinical indications， efficacy， safety and complications of RA-TAC are highlighted， as wen as the clinical experience and surgical skills of RA-TAC are shared with the purpose of promotion of this technique.

Key words Cervical Insufficiency; Transvaginal Cervical Cerclage; Laparoscopic Transabdominal Cervical Cerclage; Robot-assisted Transabdominal Cervix Cerclage

宮頸機(jī)能不全是指因子宮頸機(jī)能減退而無(wú)法維持正常閉合功能，導(dǎo)致在妊娠足月或自然分娩前出現(xiàn)子宮頸管縮短、內(nèi)口擴(kuò)張、羊膜囊脫出、胎膜早破或?qū)m內(nèi)感染等表現(xiàn)。（剩余10429字）