子宫黏膜下肌瘤的宫腔镜治疗

doi:10.7504/fk2016010103

中国实用妇科与产科杂志

子宫黏膜下肌瘤的宫腔镜治疗

段华

作者单位：首都医科大学附属北京妇产医院，北京 100006

出版日期:2016-02-01 发布日期:2016-05-03
基金资助:
北京市医疗局扬帆计划（ZY201406）

Hysteroscopic surgery in the treatment of submucosal myoma.

DUAN Hua.

Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100006, China

Online:2016-02-01 Published:2016-05-03

摘要/Abstract

摘要：

子宫黏膜下肌瘤因其特殊的生长部位，更易影响女性的月经生理和妊娠分娩，是促使育龄期女性求医问药的主要妇科疾病。随着内镜技术的发展，宫腔镜子宫肌瘤切除术（transcervical resection of myoma, TCRM）已经取代传统开腹及腹腔镜手术，成为治疗子宫黏膜下肌瘤的标准术式。全面认识黏膜下子宫肌瘤，准确掌握TCRM手术适应证、围手术期处理原则以及手术技巧是保证手术安全、成功的关键。文章结合文献围绕黏膜下肌瘤分类、TCRM手术指征及围手术期准备、手术步骤与技巧、手术效果以及手术注意事项进行论述。

关键词: 黏膜下肌瘤, 宫腔镜手术

Abstract:

Abstract:Submucosal myoma is the main gynecological disease, which urges women at reproductive age to seek clinical treatment, because it is more likely to affect women's menstrual cycle and pregnancy due to its special growth pattern. With the development of endoscopic techniques, transcervical resection of myoma (TCRM) has replaced traditional laparotomy and laparoscopic surgery, and has become the standard treatment method for submucous myoma. A comprehensive understanding of submucosal myoma, and accurate grasp of the indications, perioperative management principles and surgical skills of TCRM are the keys to ensure the safety and success of the surgery. This paper focuses on the classification ofsubmucous myoma, the indications of TCRM, perioperative preparation, surgery steps and skills, treatment effects and operation notes of TCRM.

Key words: submucosal myoma, hysteroscopy

中图分类号:

R737.3

段华. 子宫黏膜下肌瘤的宫腔镜治疗[J]. 中国实用妇科与产科杂志, DOI: 10.7504/fk2016010103.

DUAN Hua.. Hysteroscopic surgery in the treatment of submucosal myoma.[J]. Acta Metallurgica Sinica, DOI: 10.7504/fk2016010103.

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（2015-12-20收稿）

子宫黏膜下肌瘤的宫腔镜治疗

Hysteroscopic surgery in the treatment of submucosal myoma.

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