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一种用于子宫肌瘤剜除术的改良双极环形电切镜切片技术使手术更安全。

A Modified Technique of Bipolar Loop Resectoscopic Slicing for Treating Submucous Fibroids With Enucleation Makes the Operation Safer.

作者信息

Zhang Wenying, Liu Jing, Wu Qiongwei, Liu Yu, Wang Chunchun, Ma Chengbin

机构信息

Department of Gynecology, Shanghai Changning Maternity and Infant Health Hospital, Shanghai, China.

出版信息

Front Surg. 2021 Nov 10;8:746936. doi: 10.3389/fsurg.2021.746936. eCollection 2021.

Abstract

In this study, a modified technique of resectoscopic slicing with a common bipolar loop was introduced, which facilitated the complete removal of the submucous fibroid inside the uterine cavity without any novel equipment. Compared with the classical technique, our modified procedure possessed a shorter operation time (22.9 ± 7.3 vs. 38.9 ± 13.0 min, < 0.05) and a smaller distending media volume (1,495.6 ± 540.1 vs. 2,393.1 ± 719.4 ml, < 0.01). As a result, the current study suggested that the enucleation of submucous fibroid under hysteroscopy could be achieved by using only the bipolar loop, which reduced the consumption for novel equipment and enhanced the safety of the technique.

摘要

在本研究中,引入了一种使用普通双极环的改良切除镜切片技术,该技术无需任何新型设备即可促进子宫腔内黏膜下肌瘤的完全切除。与传统技术相比,我们的改良手术操作时间更短(22.9±7.3对38.9±13.0分钟,<0.05),扩张介质用量更小(1495.6±540.1对2393.1±719.4毫升,<0.01)。因此,本研究表明,仅使用双极环即可在宫腔镜下完成黏膜下肌瘤的摘除,这减少了新型设备的消耗并提高了该技术的安全性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73f3/8631289/41e20cecd2d7/fsurg-08-746936-g0001.jpg

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