腹腔镜下子宫肌瘤切除术的临床优势及争议
姜丽,祝亚平
摘要(Abstract):
腹腔镜下子宫肌瘤切除术作为保留子宫的一种微创手术,具有很多临床优势,但其术中术后并发症如出血、复发、粘连、中转开腹及对产科结局的影响目前尚有争议。腹腔镜技术熟练者可完成所有肌瘤切除术。术前准确评估,合理选择适应证及预处理,熟练掌握腹腔镜手术可减少并发症的发生。
关键词(KeyWords): 腹腔镜检查;子宫肌瘤;并发症;产科结局
基金项目(Foundation):
作者(Author): 姜丽,祝亚平
DOI: 10.13283/j.cnki.xdfckjz.2010.03.024
参考文献(References):
- [1]Jin C,Hu Y,Chen XC,et al.Laparoscopic versus openmyomectomy:a meta-analysis of randomized controlled trials[J].Eur J Obstet Gynecol Reprod Biol,2009,145:14-21
- [2]Malzoni M,Tinelli R,Cosentino F,et al.Laparoscopy ver-sus minilaparotomy in women with symptomatic uterine myomas:short-term and fertility results[J].Fertil Steril,2009[Epub ahead of print]
- [3]Sinha R,Hegde A,Mahajan C,et al.Laparoscopic myo-mectomy:do size,number,and location of the myomas form limiting factors for laparoscopic myomectomy[J].J Minim Invasive Gynecol,2008,15:292-300
- [4]Sizzi O,Rossetti A,Malzoni M,et al.Italian multicenter study on complications of laparoscopic myomectomy[J].J Minim Invasive Gynecol,2007,14:453-462
- [5]戴红,王庆一.腹腔镜肌壁间子宫肌瘤剔除术缝合方式的探讨[J].中国妇幼保健,2007,22:3441-3443
- [6]李丽,马树强,周晓梅.腹腔镜下子宫肌瘤切除术中垂体后叶素及缩宫素止血作用的对比研究[J].腹腔镜外科杂志,2008,13:455-456
- [7]Hobo R,Netsu S,Koyasu Y,et al.Bradycardia and cardiac arrest caused by intramyometrial injection of vasopressin during a laparoscopically assisted myomectomy[J].Obstet Gynecol,2009,113:484-486
- [8]Taylor A,Sharma M,Buck L,et al.The use of triple tour-niquets for laparoscopic myomectomy[J].J Gynecol Surg,2005,21:65-72
- [9]Wang CJ,Yuen LT,Chien MH,et al.A transient blocking uterine perfusion procedure to decrease operative blood loss in laparoscopic myomectomy[J].Chang Gung Med J,2008,31:463-468
- [10]Donnez O,Jadoul P,Squifflet J,et al.Unusual complica-tion after uterine artery embolization and laparoscopic myomectomy in a woman wishing topreserve future fertili-ty[J].Fertil Steril,2008,90:2007.e5-2007.e9
- [11]Dubuisson JB,Facounnier A,Fourchette V,et al.Laparo-scopic myomectomy:predicting the risk of conversion to an open procedure[J].Hum Reprod,2001,16:1726-1731
- [12]Marret H,Chevillot M,Giraudeau B.Factors influencing laparoconversions during the learning curve of laparo-scopic myomectomy[J].Acta Obstet Gynecol,2006,85:324-329
- [13]Dubuisso JB,Fauconnier A,Babaki-Fard K,et al.Lapa-roscopic myomectomy:a current view[J].Hum Reprod Update,2000,6:588-594
- [14]Mais V,Bracco GL,Litta P,et al.Reduction of postopera-tive adhesions with an auto-crosslinked hyaluronan gel in gynaecological laparoscopic surgery:a blinded,con-trolled,randomized,multicentre study[J].Hum Reprod,2006,21:1248-1254
- [15]Charles C,Daniel R,Mohamed S,et al.Gonadotropin-re-leasing hormone agonist pretreatment did not decrease postoperative adhesion formation after abdominal myo-mectomy in a randomized control trial[J].Fertil Steril,2009,91:1909-1913
- [16]Yoo EH,Lee PI,Huh CY,et al.Predictors of leiomyoma recurrence after laparoscopic myomectomy[J].J Minim Invasive Gynecol,2007,14:690-697
- [17]Falcone T,Bedaiwy MA.Minimally invasive management of uterine fibroids[J].Curr Opin Obstet Gynecol,2002,14:401-407
- [18]段彩菊,张令浩.腹腔镜下子宫肌瘤摘除术中使用超声波对降低肌瘤复发的效果[J].国外医学妇产科学分册,2007,34:291-292
- [19]何爱琴,陈曾燕,张玉泉.腹腔镜下子宫肌瘤剥除术中先行子宫动脉阻断可行性研究[J].实用妇产科杂志,2008,24:417-419
- [20]Moon HS,Koo JS,Park SH,et al.Parasitic leiomyoma in the abdominal wall after laparoscopic myomectomy[J].Fertil Steril,2008,90:1201.e1-1201.e2
- [21]Asai S,Asada H,Furuya M,et al.Pseudoaneurysm of the uterine artery after laparoscopic myomectomy[J].Fertil Steril,2009,91:929
- [22]Banas T,Klimek M,Fugiel A,et al.Spontaneous uterine rupture at35weeks'gestation,3years after laparoscopic myomectomy,without signs of fetal distress[J].Obstet Gynecol,2005,31:527-530
- [23]Paul PG,Koshy AK,Thomas T.Pregnancy outcomes fol-lowing laparoscopic myomectomy and single-layer myo-metrial closure[J].Hum Reprod,2006,21:3278-3281
- [24]Hasbargen U,Summerer-Moustaki M,Hillemanns P,etal.Uterine dehiscence in a nullipara,diagnosed by MRI,following use of unipolar electrocautery during laparo-scopic myomectomy:case report[J].Hum Reprod,2002,17:2180-2182
- [25]Makino S,Tanaka T,Itoh S,et al.Prospective comparison of delivery outcomes of vaginal births after cesarean sec-tion versus laparoscopic myomectomy[J].Obstet Gyne-col,2008,34(6):952-6
- [26]Kumakiri J,Takeuchi H,Itoh S,et al.Prospective evalua-tion for the feasibility and safety of vaginal birth after laparoscopic myomectomy[J].J Minim Invasive Gyne-col,2008,15:420-424
- [27]Palomba S,Zupi E,Falbo A,et al.A multicenter random-ized,controlled study comparing laparoscopic versus minilaparotomic myomectomy:reproductive outcomes[J].Fertil Steril,2007,88:933-941