举宫器在妇科肿瘤微创手术中应用的价值与争议

doi:10.12280/gjfckx.20200844

摘要/Abstract

摘要：

随着微创手术在妇科肿瘤的广泛应用,举宫器的使用占据越来越重要的地位,但随着有关微创手术对妇科肿瘤患者不良影响的报道,对举宫器使用的重要性也提出质疑,举宫器在术中的使用是否会增加肿瘤细胞的播散、影响患者预后存在争议。针对传统举宫器的改良不断提出,以减少其在妇科肿瘤微创手术中对肿瘤组织的损伤,保证手术视野的暴露及足够的手术范围,增加举宫器的应用范围。近年来,新的举宫方式如子宫悬吊术,其安全性及有效性不断得到证实,成为替代传统举宫器协助妇科肿瘤微创手术的重要手术方式。举宫方式的比较及不断改良将会为妇科肿瘤微创手术提供新的手术思路,有助于患者术后的快速康复。

关键词: 生殖器肿瘤,女(雌)性, 腹腔镜检查, 最小侵入性外科手术, 举宫器, 安全性, 改良

Abstract:

With the widespread application of minimally invasive surgery in gynecological tumors, the use of uterine manipulator has become more and more important. However, with the reports on the adverse effects of minimally invasive surgery on patients with gynecological tumors, the importance of the use of uterine manipulator is also be questioned. It is questioned whether the use of uterine manipulator during surgery will increase the spread of tumor cells and affect the prognosis of patients. Improvements to traditional uterine manipulator have been continuously proposed to reduce the damage to tumor tissues during minimally invasive gynecological tumor surgery, to ensure the exposure of the surgical field and sufficient scope of operation, and to increase the application range of uterine manipulator. In recent years, the safety and effectiveness of new uterine lifting methods such as uterine suspension have been continuously confirmed, and they have become an important surgical method to replace traditional uterine manipulator to assist in minimally invasive gynecological tumor surgery. The comparison and continuous improvement of uterine lifting methods will provide new surgical ideas for minimally invasive gynecological tumor surgery and help patients recover quickly after surgery.

Key words: Genital neoplasms,female, Laparoscopy, Minimally invasive surgery, Uterine manipulator, Safety, Improvement

孙语舒, 易晓芳. 举宫器在妇科肿瘤微创手术中应用的价值与争议[J]. 国际妇产科学杂志, 2021, 48(3): 347-350.

SUN Yu-shu, YI Xiao-fang. The Value and Dispute of Uterine Manipulator in Gynecological Tumor Minimally Invasive Surgery[J]. Journal of International Obstetrics and Gynecology, 2021, 48(3): 347-350.

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