国际妇产科学杂志

国际妇产科学杂志 ›› 2012, Vol. 39 ›› Issue (5): 446-451.

• 综述 • 上一篇    下一篇

腹腔镜在妇科恶性肿瘤的应用进展

陈功立, 梁志清   

  1. 400038 重庆,第三军医大学西南医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-10-15 发布日期:2012-10-15

Application Advances of Laparoscope in Gynecologic Oncology

CHEN Gong-li，LIANG Zhi-qing   

  1. Department of Obstetrics and Gynecology，Southwest Hospital，Third Military Medical University，Chongqing 400038，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-10-15 Online:2012-10-15

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摘要： 过去20年妇科恶性肿瘤的诊断与治疗取得了重大进展，特别是近年来随着腹腔镜手术先驱者们所期望的设备的新发展，使得在妇科肿瘤中进行腹腔镜手术成为可能。腹腔镜应用在妇科恶性肿瘤的诊治中有多方面的好处，例如：由于图像放大，可以发现转移或复发病灶，提高对具有挑战性的区域（如膀胱旁和直肠周围间隙）解剖的认识；由于气腹压力可以减少小血管出血，从而减少住院时间，恢复快；可以较早启动术后化疗或放疗；可以显著减少辐射导致的肠道并发症。

关键词: 生殖器肿瘤, 女（雌）性, 腹腔镜, 诊断, 治疗

Abstract: In the past 20 years，diagnosis and treatment of gynecological malignancies has made significant progress. Especially in recent years，with the new development of equipment which laparoscopic surgery pioneers expect，performing laparoscopic surgery in gynecologic oncology has become feasible. The laparoscopic application in the diagnosis and treatment of gynecologic malignancies has multiple benefits，including image magnification，metastatic or recurrent lesions can be found easily，at challenging areas，such as the anatomy of para-vescal space and perirectal fascia space can be clearly display. Pneumoperitoneum pressure can reduce the small blood vessels bleeding，thus reducing the length of hospital stay and recovery faster. Earlier postoperative chemotherapy or radiotherapy，can greatly reduce radiation-induced intestinal complications.

Key words: Genital neoplasms, female, Laparoscopes, Diagnosis, Therapy