CAJ | 학술논문

目的探讨腹腔镜超声在妇科手术中的定位诊断价值.方法对象为2011年8月至2013年6月在北京妇产医院的52例妇科腹腔镜手术患者,术中经腹腔镜手术剔出病变,然后采用腹腔镜超声进行残存病灶扫查,发现后进行病灶定位,引导术者避开血管以最短的距离切除病灶,并与术前超声及术后病理学结果相比较.结果 52例中9例经腹腔镜超声术中探查病灶后更正了术前诊断.腹腔镜手术切除病灶后,由腹腔镜超声探查发现残余病灶34例,均定位成功剥除.结论腹腔镜超声可以指导妇科医师在腹腔镜下有效清除病变,减少残余病灶及术后复发;腹腔镜超声作为一种新技术在妇科手术中是重要的辅助检测和引导工具,具有良好的应用前景.
목적 탐토복강경초성재부과수술중적정위진단개치.방법 대상위2011년8월지2013년6월재북경부산의원적52례부과복강경수술환자,술중경복강경수술척출병변,연후채용복강경초성진행잔존병조소사,발현후진행병조정위,인도술자피개혈관이최단적거리절제병조,병여술전초성급술후병이학결과상비교.결과 52례중9례경복강경초성술중탐사병조후경정료술전진단.복강경수술절제병조후,유복강경초성탐사발현잔여병조34례,균정위성공박제.결론 복강경초성가이지도부과의사재복강경하유효청제병변,감소잔여병조급술후복발;복강경초성작위일충신기술재부과수술중시중요적보조검측화인도공구,구유량호적응용전경.
Objective To evaluate the application value of laparoscopic ultrasonography (LUS) in gynecological surgery.Methods Retrospective analyses were performed for 52 cases undergoing LUS during laparoscopic extirpation/excision of gynecological tumors.Aloka 7.5-MHz laparoscopic probe was used to detect the residual lesions during laparoscopic operations.The findings of LUS were compared with those of preoperative transvaginal ultrasound and postoperative pathohistological examinations.Results Preoperative diagnoses were corrected by LUS in 9 cases.And 34 residual lesions located by LUS were successfully removed.Conclusion With a high detection rate and diagnostic accuracy rate in the diagnosis of gynecologic disease,LUS can locate invisible lesions during laparoscopic operations and provide guidance for radical tumor removal.It is a safe and valuable assistance for gynecologic surgery.