机器人辅助经腹宫颈环扎术的临床应用及技巧（附手术视频）

摘要 本研究通过回顾宫颈环扎术应用于治疗宫颈机能不全的发展历程，分析了经阴道、剖腹、腹腔镜经腹和机器人辅助经腹宫颈环扎术等不同手术入路的优势和不足，着重介绍了机器人辅助经腹宫颈环扎术的应用现状，并分享了机器人辅助经腹宫颈环扎术的操作经验和技术要领，旨在推广机器人辅助经腹宫颈环扎术的应用。

关键词 宫颈机能不全；经阴道宫颈环扎术；腹腔镜下经腹宫颈环扎术；机器人辅助经腹宫颈环扎术

中图分类号 R61 R713.4 文献标识码 A 文章编号 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

宫颈机能不全是指因子宫颈机能减退而无法维持正常闭合功能，导致在妊娠足月或自然分娩前出现子宫颈管缩短、内口扩张、羊膜囊脱出、胎膜早破或宫内感染等表现。（剩余10429字）