探讨自制充气密闭取物袋在妇科腹腔镜手术中的应用价值。

选择2016年1月至2016年12月在山东省桓台县妇幼保健院住院的普通妇科手术患者167例为研究对象，应用腹腔镜技术及自制的充气密闭取物袋为167例患者实施手术(腹腔镜子宫肌瘤切除术87例，其中2例因瘤体外观异常送快速病理提示子宫肉瘤于腹腔镜下扩大手术范围，子宫腺肌瘤切除术34例，腹腔镜次全子宫切除术9例，腹腔镜畸胎瘤剥除术12例，因卵巢良性肿瘤行患侧附件切除术17例，因卵巢粘液性囊腺瘤行腹腔镜卵巢囊腺瘤剥除术8例，其中1例因快速病理提示卵巢粘液性囊腺癌于腹腔镜下扩大手术范围)。观察手术时间、标本取出时间、术中出血量、术后并发症等指标。

167例手术均在腹腔镜下顺利完成，手术时间(49.6±27.8)min，标本取出时间(7.3±2.5)min，术中出血量(62.4±35.7)ml，其中2例因套管固定不可靠致套管指套滑脱漏气，导致新的密闭空间不佳重新放置取物袋后手术顺利完成，其余165例均通过密闭取物袋一次性顺利将标本自腹腔内取出，且取出过程及术后均无并发症。

妇科腹腔镜手术使用自制充气密闭取物袋有效避免标本内容物遗留于腹腔，防止肿瘤播散种植的发生，降低了腹腔及切口肿瘤组织污染，有效避免减少了并发症的发生，具有推广价值。

To explore the application value of inflatable sealed extract bag in laparoscopic surgery.

Laparoscopic technique and inflatable sealed extract bag were performed in 167 patients (87 cases for laparoscopic myomectomy of which 2 cases due to abnormal appearance of the tumor by rapid pathology, and then expand the scope of uterine adenoma resection in the laparoscopic surgery, 34 cases of uterine fibroidectomy, 9 cases of laparoscopic hysterectomy, 12 cases of laparoscopic teratoma enucleation, 17 cases of side attachment for benign ovarian cancer, 8 cases of laparoscopic ovarian teratoma removal, 1cases of ovarian mucinous cystadenocarcinoma due to rapid pathology to expand of the scope of surgery in laparoscopic).

All of the 167 cases operations were performed underwent laparoscopic. Among them, the casing was not reliable, 2 cases were re-placed the inflatable sealed extract bag to successfully remove tumor due to casing fixed unreliable cased sleeve finger slip which resulting in a new poor confinement, and another 165 cases were removed the specimen from the abdominal cavity using the inflatable sealed extract bag one-time and without any complications.

Using inflatable sealed extract bag in gynecological laparoscopic surgery can effectively avoid the contents of the specimen left in the abdominal cavity, prevent the spread of tumor planting, reduce the abdominal cavity and incision pollution, and reduce the incidence of complications. Therefore, the retriever device should be popularized.