国际妇产科学杂志
國際婦產科學雜誌
국제부산과학잡지
JOURNAL OF INTERNATIONAL OBSTETRICS AND GYNECOLOGY
2014年
5期
570-574
,共5页
子宫%矫形外科手术%宫腔镜%腹腔镜%预后%不育%宫颈功能不全
子宮%矯形外科手術%宮腔鏡%腹腔鏡%預後%不育%宮頸功能不全
자궁%교형외과수술%궁강경%복강경%예후%불육%궁경공능불전
Uterus%Orthopedic procedures%Hysteroscopes%Laparoscopes%Prognosis%Infertility%Uterine cervical incompetence
宫腹腔镜联合检查是子宫畸形的确诊方法。子宫畸形的矫形多可用宫腔镜手术完成。联合腹腔镜,可了解子宫外形,再次确认子宫畸形的类别,鉴别双子宫、双角子宫、中隔子宫、T型子宫、斜隔子宫、弓形子宫、单角子宫合并或不合并残角子宫等。同时监护宫腔镜手术过程,以提高手术的安全性,并可诊治盆腔其他病变,行输卵管通畅度检查。传统的畸形子宫开腹矫形手术已经被微创、有效、安全的宫腹腔镜手术合理替代。
宮腹腔鏡聯閤檢查是子宮畸形的確診方法。子宮畸形的矯形多可用宮腔鏡手術完成。聯閤腹腔鏡,可瞭解子宮外形,再次確認子宮畸形的類彆,鑒彆雙子宮、雙角子宮、中隔子宮、T型子宮、斜隔子宮、弓形子宮、單角子宮閤併或不閤併殘角子宮等。同時鑑護宮腔鏡手術過程,以提高手術的安全性,併可診治盆腔其他病變,行輸卵管通暢度檢查。傳統的畸形子宮開腹矯形手術已經被微創、有效、安全的宮腹腔鏡手術閤理替代。
궁복강경연합검사시자궁기형적학진방법。자궁기형적교형다가용궁강경수술완성。연합복강경,가료해자궁외형,재차학인자궁기형적유별,감별쌍자궁、쌍각자궁、중격자궁、T형자궁、사격자궁、궁형자궁、단각자궁합병혹불합병잔각자궁등。동시감호궁강경수술과정,이제고수술적안전성,병가진치분강기타병변,행수란관통창도검사。전통적기형자궁개복교형수술이경피미창、유효、안전적궁복강경수술합리체대。
Laparoscopic combined with hysteroscopy examination is the confirmed diagnostic method for uterine malformation. Most uterine malformation metroplasty can be done by hysteroscopic surgery. But combing with laparoscopy can not only help to understand the shape of uterus, reconfirm the classifications of uterine anomaly, identify the uterus didelphys, such as: bicornuate uterus, septate uterus, T-shaped uterus, Robert′s uterus, arcuate uterus, unicornuate uterus with non-communicating/communicating rudimentary uterine horn, etc, but also can help to monitor the operation process which can improve the safety of operation and help to diagnose and treat other lesions in pelvis and do dye test of fallopian simultaneously. The traditional laparotomy metroplasty for malformation uterus has be reasonable replaced by hysteroscopy and laparoscopy which is minimally invasive, effective and safe surgery.