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欧洲妇科内镜学会（ESGE）关于子宫肌瘤切除术手术技术的良好实践建议：第2部分 宫腔镜子宫肌瘤切除术

European Society for Gynaecological Endoscopy (ESGE) Good Practice Recommendations on surgical techniques for Removal of Fibroids: Part 2 Hysteroscopic Myomectomy.

作者信息

Clark T J, Antoun L, Di Spiezio Sardo A, Tanos V, Huirne J, Bousma E W, Smith-Walker T, Saridogan E

出版信息

Facts Views Vis Obgyn. 2024 Dec;16(4):383-397. doi: 10.52054/FVVO.16.4.054.

DOI:10.52054/FVVO.16.4.054
PMID:39718323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11819789/
Abstract

Submucosal uterine fibroids are the rarest type of fibroids. They can lead to abnormal uterine bleeding and may play a role in infertility and miscarriage. Hysteroscopic myomectomy is the preferred treatment to relieve bleeding caused by these fibroids and to restore the normal structure of the uterine cavity. The European Society for Gynaecological Endoscopy Uterine Fibroids Working Group developed recommendations based on the best available evidence and expert opinion for the surgical treatment of uterine fibroids. In this second part of the recommendations, hysteroscopic approaches are described. This review explores the techniques related to hysteroscopic myomectomy, focusing on narrower scopes, fluid management and advances in tissue removal systems and electrosurgery.

摘要

黏膜下子宫肌瘤是最罕见的肌瘤类型。它们可导致异常子宫出血，并可能在不孕和流产中起作用。宫腔镜子宫肌瘤切除术是缓解这些肌瘤引起的出血并恢复子宫腔正常结构的首选治疗方法。欧洲妇科内镜学会子宫肌瘤工作组基于现有最佳证据和专家意见制定了子宫肌瘤手术治疗的建议。在本建议的第二部分，描述了宫腔镜手术方法。本综述探讨了与宫腔镜子宫肌瘤切除术相关的技术，重点关注更窄的镜体、液体管理以及组织切除系统和电外科的进展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990b/11819789/6abc0f81100e/FVVinObGyn-16-383-g004a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990b/11819789/eabbe8eaa953/FVVinObGyn-16-383-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990b/11819789/695ed9b61e8c/FVVinObGyn-16-383-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990b/11819789/3924e83e5985/FVVinObGyn-16-383-g003a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990b/11819789/6abc0f81100e/FVVinObGyn-16-383-g004a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990b/11819789/eabbe8eaa953/FVVinObGyn-16-383-g001a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990b/11819789/695ed9b61e8c/FVVinObGyn-16-383-g002a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990b/11819789/3924e83e5985/FVVinObGyn-16-383-g003a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990b/11819789/6abc0f81100e/FVVinObGyn-16-383-g004a.jpg

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本文引用的文献

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European Society for Gynaecological Endoscopy (ESGE) Good Practice Recommendations on surgical techniques for removal of fibroids: part 1 abdominal (laparoscopic and open) myomectomy.欧洲妇科内镜学会（ESGE）关于子宫肌瘤切除术手术技术的良好实践建议：第1部分 腹部（腹腔镜和开放）子宫肌瘤切除术
Facts Views Vis Obgyn. 2024 Sep;16(3):263-280. doi: 10.52054/FVVO.16.3.041.
2
Presurgical treatment of uterine myomas with the GnRH-antagonist relugolix in combination therapy: an observational study.术前使用 GnRH 拮抗剂瑞戈非尼联合治疗子宫肌瘤：一项观察性研究。
Sci Rep. 2024 Sep 28;14(1):22481. doi: 10.1038/s41598-024-73151-y.
3
Outpatient Hysteroscopy: (Green-top Guideline no. 59).
门诊宫腔镜检查：（绿皮指南第 59 号）。
BJOG. 2024 Dec;131(13):e86-e110. doi: 10.1111/1471-0528.17907. Epub 2024 Aug 19.
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Oral Gonadotropin-Releasing Hormone Antagonists for the Treatment of Uterine Leiomyomas.口服促性腺激素释放激素拮抗剂治疗子宫平滑肌瘤
Obstet Gynecol. 2023 May 1;141(5):901-910. doi: 10.1097/AOG.0000000000005145. Epub 2023 Apr 5.
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Use of oral GnRH antagonists combined therapy in the management of symptomatic uterine fibroids.口服促性腺激素释放激素拮抗剂联合疗法在有症状子宫肌瘤管理中的应用。
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