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实施腹腔镜下子宫(肌瘤)分碎术的中国专家共识 被引量:66

Chinese expert consensus on performing laparoscopic uterine (myoma) morcellation
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摘要 子宫肌瘤是女性生殖系统最常见的良性肿瘤,尸检显示35岁以上妇女20%患有子宫肌瘤。其手术治疗方式包括肌瘤切除术及子宫切除术,手术途径有开腹、经阴道或腹腔镜手术,其中腹腔镜微创手术已成为重要的术式。在妇科腹腔镜子宫(肌瘤)切除手术中,用专门设计的电动分碎器对子宫(肌瘤)进行分碎,目的在于使组织标本成为碎片以方便经穿刺孔取出至腹腔外完成手术[1-3]。腹腔镜电动分碎器自1991年问世以来,临床一直沿用至今。既往普遍认为这种电动肿瘤分碎术(power tumor morcellation)仅适用于子宫良性肿瘤患者,因此术前需要充分评估排除恶性肿瘤(尤其是子宫肉瘤)的可能,以实施分碎术。
出处 《中国实用妇科与产科杂志》 CAS CSCD 北大核心 2020年第7期626-632,共7页 Chinese Journal of Practical Gynecology and Obstetrics
关键词 电动肿瘤分碎术 子宫肌瘤 子宫肉瘤 腹腔镜 power tumor morcellation uterine myoma sarcoma of uterus laparoscope
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