腹腔镜子宫肌瘤手术组织粉碎的播散问题及其预防

Dissemination Problems of Laparoscopic Uterine Fibroids Morcellation and Its Prevention

腹腔镜子宫肌瘤手术使用电动粉碎器带来的并发症越来越多,主要的并发症包括良性组织播散及恶性肿瘤种植等。2014年美国食品及药品管理局对腹腔镜子宫肌瘤手术中使用组织粉碎器提出了警告,引起了各国妇科医生及专业组织对腹腔镜组织粉碎器使用的高度关注,但目前尚无统一结论。针对腹腔镜组织粉碎器带来的并发症,各国学者进行了相关的研究并采取了相关的预防措施。本文就针对腹腔镜子宫肌瘤手术中组织粉碎的相关播散问题及预防的研究进展作一综述。

With the wide use of electronic morcellation in laparoscopic uterine fibroids surgery,there are more and more complications which mainly include benign tissues dissemination,malignant tumor tissues implantation and so on.In 2014,the Food and Drug Administration of USA warned the use of electronic morcellation in laparoscopic uterine fibroids surgery,which made the gynecologists and the professional organizations pay more attention.However,there is no conclusion of the laparoscopic uterine fibroids morcellation problems.In this paper,we make a review of the dissemination problems and prevention of laparoscopic uterine fibroids morcellation