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[腹腔镜下子宫肌瘤切除术:手术准备及操作技术]

[Laparoscopic myomectomy: preparation for procedure and operation technique].

作者信息

Reroń Alfred, Trojnar-Podleśny Magdalena

机构信息

Kliniki Ginekologii i Połoznictwa Septycznego, Collegium Medicum UJ, Kraków.

出版信息

Ginekol Pol. 2003 Dec;74(12):1578-84.

Abstract

Uterine leiomyomata are the commonest neoplasms of the female reproductive system in the procreative age. In these cases operation is still a treatment of choice. The procedure's range depends on: number, size and localisation of the myomas, patient's age and possession of children. Currently uterine leiomyomata are removed more frequent by endoscopic operations. We present the technique of laparoscopic myomectomy taking into consideration very important problem--patients' qualification this procedure. We pay attention to necessity of precise closing the wound in layers after removed myoma, which seems to prevent uterine rupture during pregnancy and labour. We also present some controversial aspects of using GnRH analogues. In summary we emphasise benefits of laparoscopic myomectomy particularly for women in the procreative age, who are planning pregnancy.

摘要

子宫平滑肌瘤是生育年龄女性生殖系统最常见的肿瘤。在这些病例中,手术仍然是首选的治疗方法。手术方式的选择取决于:肌瘤的数量、大小和位置、患者年龄及是否育有子女。目前,内镜手术切除子宫平滑肌瘤更为常见。我们介绍了腹腔镜子宫肌瘤切除术的技术,同时考虑到一个非常重要的问题——患者接受该手术的资格。我们强调在切除肌瘤后精确分层缝合伤口的必要性,这似乎可以预防妊娠和分娩期间的子宫破裂。我们还介绍了使用促性腺激素释放激素(GnRH)类似物的一些争议性方面。总之,我们强调腹腔镜子宫肌瘤切除术的益处,特别是对于计划怀孕的生育年龄女性。

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