中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

经阴道自然腔道内镜手术在妇科手术应用中的难点及策略

  

  1. 复旦大学附属妇产科医院妇科，上海 200090
  • 出版日期:2019-12-02 发布日期:2019-12-05
  • 通讯作者: 华克勤
  • 基金资助:
    上海市科学技术科研基金（16411963700）

Transvaginal natural orifice transluminal endoscopic surgery in gynecologic surgery：difficulties and strategies.

  1. Department of Gynecology，Obstetrics and Gynecology Hospital of Fudan University，Shanghai 200090，China
  • Online:2019-12-02 Published:2019-12-05

摘要： 经阴道自然腔道内镜手术（vNOTES）作为新兴的微创外科技术，广泛应用于妇科领域，但在应用中还存在着一定的难点。文章详细论述了vNOTES在妇科手术中应用的适应证和禁忌证、入路平台建立的难点及对策、手术视野的暴露问题、术中并发症的预防和处理以及感染预防等。

关键词: 经阴道自然腔道内镜手术, 妇科手术, 处理策略

Abstract: Transvaginal NOTES surgery，as an emerging minimally invasive surgical technique，is widely used in gynecology disease.However，there are some difficulties in clinical application.This article discusses the indications and contraindications of transvaginal NOTES，the difficulties and countermeasures in the establishment of the access platform，the exposure problems of the surgical visual field，the complications encountered during the operation and their treatment，and infection prevention.

Key words: transvaginal natural orifice transluminal endoscopic surgery, gynecological surgery, treatment strategy

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