中国实用妇科与产科杂志2018，Vol.34Issue(2)：195-198,4.DOI:10.19538/j.fk2018020117
子宫肌瘤手术意外发现的子宫肉瘤临床处理分析
Clinical analysis of unexpected uterine sarcoma during laparoscopic surgeries for uterine myoma
刘福军 1梁海燕 2梁静 1冯定庆 1闫克芹 1陈庆云 1凌斌1
作者信息
- 1. 中日友好医院妇产科,北京100029
- 2. 北京协和医学院研究生院,北京100730
- 折叠
摘要
Abstract
Objective To analyze the occurrence of uterus morcellation applied to unexpected uterine sarcoma during laparoscopic surgeries for uterine myoma and its influence on prognosis,and to prevent its occurrence.Methods Retrospective analysis was made in 2072 patients with uterine myoma in China-Japan Friendship Hospital treated from January 2011 to December 2016,who accepted myomectomy or subtotal hysterectomy.These patients were divided into laparoscopy group(1944)and laparotomy group(128).Results Totally 1944 patients accepted morcellation during the laparoscopic procedure,and 5 of them were definitely diagnosed with uterine sarcoma.The occurrence of laparoscopic morcellation applied to unexpected uterine sarcoma was 0.3％ during laparoscopic surgeries.Two of 128 patients were definitely diagnosed with uterine sarcoma during the laporotomic procedure.There was no significant difference in the occurrence of unexpected uterine sarcoma between the laparoscopic procedure and laporotomic procedure (P ＞ 0.05).The 7 patients were followed up for 2 to 45 months and they all survived.Three patients who accepted laparoscopic procedure,whereas no paitents who accepted laporotomic procedure had relapse.Conclusion The use of morcellation during the procedures may lead to a worse prognosis,so we should prevent the use of electrical morcellation during the uterine sarcoma surgeries.关键词
子宫肌瘤/腹腔镜/分碎器/子宫肉瘤Key words
leiomyoma/laparoscope/morcellation/uterine sarcoma分类
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刘福军,梁海燕,梁静,冯定庆,闫克芹,陈庆云,凌斌..子宫肌瘤手术意外发现的子宫肉瘤临床处理分析[J].中国实用妇科与产科杂志,2018,34(2):195-198,4.
