子宫内膜异位症手术的无瘤防御

No-touch isolation technique in endometriosis surgery

子宫内膜异位症(简称内异症)是一种妇科常见病,虽然其属于雌激素依赖性慢性免疫炎症性良性疾病,但具有侵袭与转移等恶性生物学行为。临床上内异症手术后的高复发率与内异症本身手术病灶切除的不彻底性存在明显的相关性。因此,如何执行内异症手术的无瘤防御对于降低患者术后复发率具有重要的临床实践意义。为此,文章从内异症的手术方式、手术途径以及手术相关切口保护的视角探讨卵巢型内异症、深部浸润型内异症以及瘢痕切口内异症等目前主要手术类型的无瘤防御具体措施,旨在为临床内异症的手术提供线索。

Endometriosis(EM)is a common gynecological disease.Although it is a benign estrogen dependent chronic immune inflammatory disease,it has malignant biological behaviors such as invasion and metastasis.In clinical practice,the high recurrence rate of endometriosis after surgery is obviously related to the incomplete resection of endometriosis lesions during operation.Therefore,how to perform no touch isolation technique in endometriosis surgery has important clinical practical significance in reducing the recurrence rate of patients after surgery.Therefore,this article discusses the specific measures of no-touch isolation technique in the current major types of endometriotic surgery,such as ovarian endometriosis,deep infiltrated endometriosis and scar endometriosis,from the perspective of surgical procedures,surgical approaches and surgical incision protection related to endometriosis,in order to provide clues to the endometriosis surgery.