【摘要】 目的 探讨等离子刀电视腹腔镜下鞘膜内子宫切除术(CISH)的应用研究价值。 方法 统计我院2002年1月～2003年10月收治的165例因妇科良性病变需行子宫切除术的患者分成两组，研究组86例采用等离子刀腹腔镜下鞘膜内子宫切除术，对照组79例采用传统腹式全子宫切除术(TAH)，比较两组患者的手术时间、术中出血、术后恢复及随访情况。 结果 研究组手术成功84例，2例中转开腹。两组手术时间比较差异无显著性(P>0.05)，两组术中出血量、术后3天体温、平均住院天数、术后恢复情况等差异有非常显著性(P<0.01)。 结论 等离子刀腹腔镜下鞘膜内子宫切除术具有损伤小、出血少、恢复快、住院时间短、术后生活质量高等优点。等离子刀一次完成分离、止血、切割，使手术变得简单易行。等离子刀腹腔镜下鞘膜内子宫切除术是治疗子宫良性疾病的理想手术方式。

    关键词 等离子刀 腹腔镜 子宫切除

    Study of laparscopic coblation ion sheath hysterectomy

    Dong Junying，Lv Yu，Li Caiping，et al.

    Department of Obstetrics and Gynecology，Hanzhong People's Hospital，Shanxi723000.

    【Abstract】 Objective To discuss the value of laparscopic coblation ion sheath hysterectomy.Methods One Hundred and fifty-five patients with benign gynecological pathological change receiving hysterectomywere randomized into two groups.Eighty-six patients received laparscopic coblation ion sheath hysterectomy.Seventy-nine patients received traditional gastrohysterectomy(TAH).Comparison was made between the two groups with regard to operation time long，amount of bleeding during operation，recovery and post-surgical follow-up.Results Of the initial86cases of the CISH group ......