摘要
子宫内膜异位症(endometriosis,EMs)是一种常见的妇科良性疾病,严重影响妇女健康。手术治疗是其中一种重要的治疗手段,但是病灶往往累及宫骶韧带、肠道、输尿管或膀胱等多个组织脏器,目前尚无精准手段可以协助手术医师安全和彻底切除病灶。近年来,已陆续有报道称吲哚菁绿(indocyanine green,ICG)荧光成像可用于EMs的手术治疗,协助术中识别病灶的位置以及辨认病灶切除的边界,提高手术的安全性、彻底性,减少手术相关并发症。本综述拟对ICG荧光成像在EMs微创手术中的应用进行介绍,为该技术在临床推广和应用提供指导。
Endometriosis(EMs)is a common benign gynecological disease that seriously affects women′s health.Surgical treatment is one of the important treatments.But it often involves multiple tissues and organs such as the uterosacral ligament,intestine,ureter,or bladder,and there is no precise method to assist the surgeon to remove the lesion safely and completely.In recent years,it has been reported that indocyanine green(ICG)fluorescence imaging can be used in the surgical treatment of EMs,assisting in the identification of the location of the lesion and the boundary of the lesion resection during surgery,improving the safety and thoroughness of the operation,and reducing the complications related to surgery.This review aims to introduce the application of ICG fluorescence imaging in minimally invasive surgery for EMs,and provide guidance for the clinical promotion and application of this technology.
作者
吴佩阳
卢珺
梁炎春
Wu Peiyang;Lu Jun;Liang Yanchun(Department of Obstetrics and Gynecology,Guangxi Hospital,The First Affiliated Hospital of Sun Yat-sen University,Nanning 530022,China;Department of Obstetrics and Gynecology,The first affiliate hospital of Sun Yat-sen University,Guangzhou 510700,China;Guangdong Provincial Clinical Research Center for Obstetrical and Gynecological Diseases,Guangzhou 511356,China)
出处
《中华腔镜外科杂志(电子版)》
2024年第6期380-384,共5页
Chinese Journal of Laparoscopic Surgery(Electronic Edition)
基金
国家自然科学基金项目(82071618)
广东省基础与应用基础研究基金自然科学基金(2022A1515220143、2023A1515010018)
2022年度广州市基础研究计划基础与应用基础研究项目(202201011555)
广东省医学科研基金(B2022069)
2022年揭阳市科技创新发展专项引导项目(DZX083)
2022年揭阳市卫生医疗类项目(2022wsyl016)。
关键词
子宫内膜异位症
吲哚菁绿
荧光成像
腹腔镜手术
Endometriosis
Indocyanine green
Fluorescence imaging
Laparoscopic surgery
