腹腔镜下子宫肌瘤旋切方法探讨

发布时间：2018-04-15 19:45

本文选题：子宫肌瘤 + 子宫肉瘤　；参考：《中国实用妇科与产科杂志》2016年05期

【摘要】：腹腔镜下子宫次全切除和子宫肌瘤切除已经成为常用的手术方式,子宫或肌瘤组织通过腹腔镜子宫粉碎器(laparoscopic power morcellation)旋切取出体外。由于子宫肌瘤有发生肉瘤变的可能性,恶变后的子宫肌瘤缺少特异性表现,术前常不能明确良恶性。如果在无隔离保护措施的情况下使用子宫粉碎器对肿瘤进行旋切粉碎,有导致肿瘤细胞脱落种植腹腔,肿瘤分期上升的可能。为了达到避免肿瘤细胞污染腹腔的目的,作者对子宫粉碎器(uterine morcellation)和粉碎的过程进行了改进,临床效果良好,值得推广应用。
[Abstract]:Laparoscopic subtotal hysterectomy and hysteromyoma resection have become the common surgical methods. The uterine or fibroid tissue is removed in vitro by laparoscopic uterine comminution device (LC).Due to the possibility of sarcomatous degeneration in uterine leiomyoma, the malignant uterine myoma lacks specific features, so it is often difficult to identify benign and malignant uterine leiomyoma before operation.If the uterine comminution device is used to crush the tumor without isolation and protection, it is possible for the tumor cells to fall off and implant into the abdominal cavity, and the tumor stage may rise.In order to avoid the tumor cells from contaminating the abdominal cavity, the author has improved the uterine comminution apparatus and the process of grinding. The clinical effect is good, and it is worth popularizing and applying.
【作者单位】：贵州省人民医院妇产科;
【分类号】：R737.33

【相似文献】