腹腔镜超声在妇科手术中的应用价值  

Applications of laparoscopic ultrasound in gynecological surgery

作　　者：李斯静[1] 李晓菲[1] 杨丽曼[1] 闫亚妮[1] 邓笛[1] 吴青青[1] 

机构地区：[1]首都医科大学附属北京妇产医院超声医学科,100025

出　　处：《中华医学杂志》2013年第37期2986-2988,共3页National Medical Journal of China

摘　　要：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.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.

关 键 词：腹腔镜 腔内超声检查 

分 类 号：R713[医药卫生—妇产科学]