摘要子宫肌瘤(myoma of uterus)又称子宫平滑肌瘤,是女性生殖器官较常见的良性肿瘤,发生率为20%~40%。在30~50岁妇女中患病率高达70%~80%〔1〕。目前该病的治疗仍以手术为主,传统的手术方式主要通过开腹进行,随着医疗技术的发展,子宫肌瘤手术由单一的开腹式手术,不断向着微创手术方向发展〔2〕。
3Wen KC, Chen YJ, Sung PL et al. Comparing uterine fibroids treated by myomectomy through traditional laparotomy and 2 modified approaches: ultraminilaparotomy and laparoscopically assisted ultraminilaparotomy[J]. Am J Obstet Gynecol, 2010, 202 (2): 144.
4Sinha R, Hegde A, Warty Net al. Laparoscopic excision of very large myomas [J] . J Am Assoe Gyneeo] Laparosc, 2003, 10 (4): 461-468.
9Hurst BS, Stackhouse DJ, Matthews ML et al. Uterine artery embolization for symptomatic uterine myomas [J]. Fertil Steril, 2000, 74 (5): 855-869.
10Dessolle L, Soriano D, Poncelet C et al. Determinants of pregnancy, ratde and obstetric outcome after laparoscopic myomectomy for infertility [J] . Fertil Steril, 2001, 76: 370 - 374.
4Liu MM, Cheng ZP, Zhu Y, et al. Prospective comparison of laparoscopic uterine artery occlusion plus myomectomy with classic intrafaseial supracervical hysterectomy for symptomatic fibroid treatment:differences in post - operative quality - of - life measures [J]. European Journal of Obstet- rics Gynecology and Reproductive Biology[J]. 2011,155( 1 ) :79 -84.
5Malartic C, Morel O, Fargeaudou Y, et al. Conservative two - step pro- cedure including uterine artery embolization with embosphere and surgical myomectomy for the treatment of multiple fibroids: Preliminary experi- ence [J] . European Journal of Radiology, 2012, 81 (1) : 1 -5.
6Pasquale F,Puzzutiello R,Filippeschi M,et al. Low-dose spinal anesthesia with hyperbaric bupivacaine with intrathecal fentanyl for operative hysteroscopy:a case series study[J].J Minim Invasive Gynecol,2012, 19(1): 107-112.
7Haimovich S,Mancebo G,Alameda F,et al. Feasibility of a new two-step procedure for office hysteroscopic resection of submucous myomas:results of a pilot study[J].Eur J Obstet Gynecol Reprod Biol,2013, 168(2): 191-194.
8Pellegrino A,Dainiani GR,Speciale D,et al. Transversus abdominis plane block associated with locoregional anesthesia with a laparotenser for gynecologic surgery in an awake state[J].J Minim Invasive Gynecol, 2013,20(2) : 230-233.
9Malartic C,Morel O,Fargeaudou Y,et al. Conservative two-step procedure including uterine artery embolization with embosphere and surgical myomectomy for the treatment of multiple fibroids:Preliminary experience[J].Eur J Radiol,2012,81(1): 1-5.
10Robles R,Aguirre VA,Argueta AI,et al. Laparoscopic radiofrequency volumetric thermal ablation of uterine myomas with 12 months of follow-up[J].Int J Gynecol Obstet, 2013, 120(1):65-69.