中国医疗设备2017，Vol.32Issue(6)：45-48,4.DOI:10.3969/j.issn.1674-1633.2017.06.012
腹腔镜超声在腹腔镜子宫肌瘤剔除术中的应用研究
Application Research of Laparoscopic Ultrasonography in Laparoscopic Myomectomy
摘要
Abstract
Objective To evaluate the clinical value of laparoscopic ultrasonography in laparoscopic myomectomy surgery. Methods Totally 78 patients underwent laparoscopic myomectomy in our hospital from March 2016 to December 2016 were chosen. In all cases, visible fibroids were enucleated during laparoscopic myomectomy. Then we used laparoscopic ultrasonography to scan, positioning for residual fibroids and guide operator to enucleate them. Results Before the application of laparoscopic ultrasonography, the total number of enucleated fibroids compared with the total number of fibroids founded by preoperative transvaginal ultrasonography, there was no significant difference. The total number of enucleated fibroids in different locations of uterus (anterior wall, posterior wall, fundus, cervix) and in different locations of myometrium (intramural, submucosal, subserosal) was mostly less than the total number of fibroids founded by preoperative transvaginal ultrasonography, there was significant difference in intramural and submucosal fibroids. After the application of laparoscopic ultrasonography, the total number of enucleated fibroids compared with the total number of fibroids founded by preoperative transvaginal ultrasonography, there was significant statistical difference. The total number of enucleated fibroids in different locations of uterus and in different locations of myometrium was more than the total number of fibroids founded by preoperative transvaginal ultrasonography, there was significant statistical difference in anterior wall and intramural fibroids. The median diameter of minimum fibroids found by preoperative transvaginal ultrasonography was 1.5 cm, which by laparoscopic ultrasonography was 1.2 cm, there was significant statistical difference. Conclusion Laparoscopic ultrasonography in laparoscopic myomectomy can increase the fibroids detection rate and reduce the residual rate and recurrence rate of postoperative fibroids.关键词
子宫肌瘤/腹腔镜超声/腹腔镜子宫肌瘤剔除术/残留/复发Key words
uterine myoma/laparoscopic ultrasonography/laparoscopic myomectomy/residual/recurrence分类
医药卫生引用本文复制引用
郝焰,吴青青,卢丹,吴霞,魏薇,段爱红..腹腔镜超声在腹腔镜子宫肌瘤剔除术中的应用研究[J].中国医疗设备,2017,32(6):45-48,4.基金项目
首都医科大学附属北京妇产医院中青年学科骨干培养项目(fcyy201519). （fcyy201519）
