腹腔镜下保留假包膜神经血管束子宫肌瘤剥除术的临床意义

Clinical Significance of Intracapsular Laparoscopic Myomectomy with Preserving the Neurovascular Bundle

子宫肌瘤是育龄妇女的常见病、多发病,其症状的多样性严重影响女性的生活质量,其对女性生育能力的影响一直是讨论的热点。腹腔镜手术近年发展迅速,子宫肌瘤假包膜内存在丰富的血管神经束,腹腔镜下保留假包膜内神经血管束的子宫肌瘤剥除术因创伤小、术中出血少,保护了肌瘤周围血管、神经及肌肉组织,保留了子宫肌层的完整性,从而利于子宫肌肉组织的尽快恢复,且该术式适用于需要保留生育功能的子宫肌瘤患者,故此术式应得到广泛应用。综述此技术的国内外研究进展。

Uterine myoma is a kind of disease that is common and frequently happened in the reproductive-age women, and its symptoms diversity greatly affects the quality of women＇s life. That uterine myomas has a bad impact on the reproductive ability and has always been a hotspot issue to discuss. Laparoscopic surgery has gained a rapid development in recent years. Because there is rich neurovascular bundle under psedocapsule, intracapsular laparoscopic myomectomy can benefit myometrial muscle for its small wound and less bleeding merit, which makes myometrial muscle to recover faster. Besides, this method can especially meet the needs of patients who suffered from uterine myomas and also want to keep the ability to be pregnant, so it should be used in a more wide application. Now the domestic and foreign research advances of this technology are reviewed in this article.