Liu W M
Department of Obstetrics and Gynecology, VGH-Taipei, 201, Sec. 2, Shih-Pai Road, (112) Taipei, Taiwan.
J Am Assoc Gynecol Laparosc. 2000 Feb;7(1):125-9. doi: 10.1016/s1074-3804(00)80022-5.
Laparoscopic bipolar coagulation of uterine vessels was performed in three women with symptomatic myomas who required conventional surgical treatment. Uterine size and dominant myoma size were assessed by ultrasonography before and after surgery. Both uterine arteries, as well as anastomosis zone of uterine arteries with ovarian arteries, were occluded in all three women. Surgery was uneventful, and patients were hospitalized for only 2 days. All women experienced improvement in symptoms with no complications. Postoperative ultrasound showed progressive reduction in size of the dominant myoma. A larger series and longer follow-up are required to evaluate long-term effects and to identify appropriate candidates.
对三名患有有症状肌瘤且需要传统手术治疗的女性进行了腹腔镜下子宫血管双极电凝术。手术前后通过超声检查评估子宫大小和主要肌瘤大小。所有三名女性的双侧子宫动脉以及子宫动脉与卵巢动脉的吻合区域均被阻塞。手术过程顺利，患者仅住院2天。所有女性的症状均有改善，且无并发症。术后超声显示主要肌瘤大小逐渐缩小。需要更大规模的系列研究和更长时间的随访来评估长期效果并确定合适的候选者。
