發(fā)布時(shí)間：2018-04-15 19:45

  本文選題：子宮肌瘤 + 子宮肉瘤　； 參考：《中國(guó)實(shí)用婦科與產(chǎn)科雜志》2016年05期

【摘要】：腹腔鏡下子宮次全切除和子宮肌瘤切除已經(jīng)成為常用的手術(shù)方式,子宮或肌瘤組織通過(guò)腹腔鏡子宮粉碎器(laparoscopic power morcellation)旋切取出體外。由于子宮肌瘤有發(fā)生肉瘤變的可能性,惡變后的子宮肌瘤缺少特異性表現(xiàn),術(shù)前常不能明確良惡性。如果在無(wú)隔離保護(hù)措施的情況下使用子宮粉碎器對(duì)腫瘤進(jìn)行旋切粉碎,有導(dǎo)致腫瘤細(xì)胞脫落種植腹腔,腫瘤分期上升的可能。為了達(dá)到避免腫瘤細(xì)胞污染腹腔的目的,作者對(duì)子宮粉碎器(uterine morcellation)和粉碎的過(guò)程進(jìn)行了改進(jìn),臨床效果良好,值得推廣應(yīng)用。
[Abstract]:Laparoscopic subtotal hysterectomy and hysteromyoma resection have become the common surgical methods. The uterine or fibroid tissue is removed in vitro by laparoscopic uterine comminution device (LC).Due to the possibility of sarcomatous degeneration in uterine leiomyoma, the malignant uterine myoma lacks specific features, so it is often difficult to identify benign and malignant uterine leiomyoma before operation.If the uterine comminution device is used to crush the tumor without isolation and protection, it is possible for the tumor cells to fall off and implant into the abdominal cavity, and the tumor stage may rise.In order to avoid the tumor cells from contaminating the abdominal cavity, the author has improved the uterine comminution apparatus and the process of grinding. The clinical effect is good, and it is worth popularizing and applying.
【作者單位】： 貴州省人民醫(yī)院婦產(chǎn)科;
【分類(lèi)號(hào)】：R737.33

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