[腹腔镜超声在妇科手术中的应用]
[Applications of laparoscopic ultrasound in gynecological surgery].
作者信息
Li Si-jing, Li Xiao-fei, Yang Li-man, Yan Ya-ni, Deng Di, Wu Qing-qing
机构信息
Department of Ultrasound, Beijing Obstetrics & Gynecology Hospital, Capital Medical University, Beijing 100025, China.
Department of Ultrasound, Beijing Obstetrics & Gynecology Hospital, Capital Medical University, Beijing 100025, China. Email:
出版信息
Zhonghua Yi Xue Za Zhi. 2013 Oct 8;93(37):2986-8.
OBJECTIVE
To evaluate the application value of laparoscopic ultrasonography (LUS) in gynecological surgery.
METHODS
Retrospective analyses were performed for 52 cases undergoing LUS during laparoscopic extirpation/excision of gynecological tumors. Aloka 7.5-MHz laparoscopic probe was used to detect the residual lesions during laparoscopic operations. The findings of LUS were compared with those of preoperative transvaginal ultrasound and postoperative pathohistological examinations.
RESULTS
Preoperative diagnoses were corrected by LUS in 9 cases. And 34 residual lesions located by LUS were successfully removed.
CONCLUSION
With a high detection rate and diagnostic accuracy rate in the diagnosis of gynecologic disease, LUS can locate invisible lesions during laparoscopic operations and provide guidance for radical tumor removal. It is a safe and valuable assistance for gynecologic surgery.
目的
评估腹腔镜超声（LUS）在妇科手术中的应用价值。
方法
对52例在腹腔镜切除妇科肿瘤过程中接受LUS检查的患者进行回顾性分析。使用阿洛卡7.5兆赫腹腔镜探头在腹腔镜手术期间检测残留病变。将LUS的检查结果与术前经阴道超声及术后病理组织学检查结果进行比较。
结果
LUS纠正了9例术前诊断。LUS定位的34处残留病变被成功切除。
结论
LUS在妇科疾病诊断中具有较高的检出率和诊断准确率，可在腹腔镜手术中定位不可见病变，为肿瘤根治性切除提供指导。它是妇科手术中一种安全且有价值的辅助手段。
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