Wong Alyssa S W, Cheung Eva C W, Leung Kit-Tong, Yeung Sik-Wing, Leung Tak-Yeung, Fung Tak-Yuen
Department of Obstetrics and Gynaecology, Prince of Wales Hospital, Shatin, New Territories, Hong Kong SAR, China.
J Laparoendosc Adv Surg Tech A. 2013 Mar;23(3):258-62. doi: 10.1089/lap.2012.0424. Epub 2013 Jan 23.
An original technique of transcervical intralesional vasopressin injection that allowed direct infiltration to submucous myomas under hysteroscopic control is described. Five patients with a symptomatic submucous myoma 1.5-5 cm in size scheduled for hysteroscopic myomectomy were recruited. The time required for vasopressin injection was less than 3 minutes in all cases. The time required for myomectomy ranged from 3 to 32 minutes. Four cases had no fluid absorption, whereas 1 had absorption of 1000 mL. The patient with the longest operative time and fluid absorption had multiple submucous myomas, including a large G2 myoma of 5 cm. All cases had complete excision without complication. The surgeons rated the operations as having minimal bleeding and excellent clarity. Transcervical intralesional vasopressin injection is a potentially simple, quick, and feasible method to facilitate complete resection of submucous myomas in hysteroscopic myomectomy.
本文描述了一种经宫颈瘤内注射血管加压素的新技术，该技术可在宫腔镜控制下直接浸润至黏膜下肌瘤。招募了5例计划行宫腔镜子宫肌瘤切除术、有症状的黏膜下肌瘤大小为1.5 - 5 cm的患者。所有病例中血管加压素注射所需时间均少于3分钟。子宫肌瘤切除术所需时间为3至32分钟。4例无液体吸收，1例吸收了1000 mL。手术时间最长且有液体吸收的患者有多个黏膜下肌瘤，包括一个5 cm的大G2肌瘤。所有病例均完全切除且无并发症。外科医生将手术评为出血极少且视野极佳。经宫颈瘤内注射血管加压素是一种潜在的简单、快速且可行的方法，有助于在宫腔镜子宫肌瘤切除术中完全切除黏膜下肌瘤。
