摘要
子宫肌瘤是临床上最常见的妇科良性肿瘤,治疗方案应统筹兼顾患者的临床症状、生育要求以及肌瘤生长等情况。子宫肌瘤的治疗方法包括腹腔镜、阴式手术、宫腔镜手术、经腹手术、经自然腔道手术、子宫动脉栓塞术及高强度聚焦超声消融术等。近年来,围绕子宫肌瘤微创治疗,无瘤原则进一步贯彻落实。子宫肌瘤治疗方式的选择以及无瘤原则在术前、术中、术后如何遵循仍然存在较多争议,既有技术条件的限制,也有肌瘤个体化的影响。本文就子宫肌瘤几种微创手术方法的优缺点进行分析,并结合无瘤原则对子宫肌瘤微创手术的未来发展进行探讨。
Hysteromyoma is the most common gynecological benign tumor in clinic.The treatment should take into account the clinical symptoms,fertility requirements and growth of hysteromyoma.The treatment of hysteromyoma includes laparoscopy,vaginal surgery,hysteroscopic surgery,transabdominal surgery,natural orifice transluminal endoscopic surgery,uterine artery embolization and high-intensity focused ultrasound ablation.In recent years,around the minimally invasive treatment of hysteromyoma,the tumor free principle has been further implemented.There are still many controversies about the selection of treatment for hysteromyoma and how to follow the tumor free principle before,during and after the operation,and the both problems are due to the limitations of technical conditions and the influence of hysteromyoma individuation.This article analyzes the advantages and disadvantages of several minimally invasive surgical methods for hysteromyoma,and discusses the future development of minimally invasive surgery for hysteromyoma in combination with the tumor free principle.
作者
陈洁
胡新明
王琳丽
周洁莉
CHEN Jie;HU Xinming;WANG Linli;ZHOU Jieli(The First Clinical Medi cal College of Gannan Medical University,Jiangxi Province,Ganzhou 341000,China;Department of Obstetrics and Gynecology,the First Affiliated Hospital of Gannan Medical University,Jiangxi Province,Ganzhou 341000,China)
出处
《妇儿健康导刊》
2023年第4期27-30,共4页
JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE
关键词
子宫肌瘤
微创手术
无瘤原则
Hysteromyoma
Minimally invasive surgery
Tumor free principle
