近红外荧光成像技术在子宫内膜异位症手术中的应用

doi:10.12280/gjfckx.20250041

摘要/Abstract

摘要：

子宫内膜异位症（endometriosis，EMs）属于良性病变，但其病灶形态多样，深浅不一，且可累及多个脏器，病程长且难以彻底治愈。手术中未识别或者未能完整切除病灶被认为是导致EMs复发的主要原因。如何在术中定位病灶，确定其范围，实施精准切除，同时避免发生脏器损伤，是手术医生面临的一大难题。近红外荧光成像技术作为一种增强显示技术，一方面可以在术中实时提供额外的视觉信息，帮助手术医生定位病灶及其范围；另一方面，临床应用方便，安全性高，很多学者开始将其用于EMs的手术，在病灶检测、手术可视化与导航、血供评估与预后判断等方面都取得了进展。综述近红外荧光成像技术在妇科EMs手术中的应用进展。

关键词: 子宫内膜异位症, 谱学, 近红外线, 妇科外科手术, 手术导航系统, 预后

Abstract:

Endometriosis (EMs) is a benign lesion, but its lesions have diverse morphologies and different depths, and can involve multiple organs. It has a long-term course and is difficult to cure completely. Failure to recognize or completely remove the lesions during surgery is considered the main cause of EMs recurrence. How to locate the lesions during surgery, determine their scope, perform precise resection, and avoid organ damage at the same time is a major challenge for surgeons. As an enhanced visualization technology, near-infrared fluorescence imaging technology can, on the one hand, provide additional real-time visual information during surgery to help surgeons locate the lesion and their scope; On the other hand, it is convenient to use and has high safety. Many scholars have begun to apply it in EMs surgery and have made progress in lesion detection, surgical visualization and navigation, blood supply assessment, and prognosis prediction. This article reviews the application progress of near-infrared fluorescence imaging technology in gynecological EMs surgery.

Key words: Endometriosis, Spectroscopy, near-infrared, Gynecologic surgical procedures, Surgical navigation systems, Prognosis

张伟峰, 林毅, 张毅. 近红外荧光成像技术在子宫内膜异位症手术中的应用[J]. 国际妇产科学杂志, 2025, 52(4): 457-461.

ZHANG Wei-feng, LIN Yi, ZHANG Yi. Application of Near-Infrared Fluorescence Imaging Technology in Endometriosis Surgery[J]. Journal of International Obstetrics and Gynecology, 2025, 52(4): 457-461.

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