子宫腺肌病病灶切除术手术质量控制  

Surgical quality control of adenomyomectomy

作　　者：徐萍[1] 张信美[1] XU Ping;ZHANG Xin-mei(Women's Hospital School of Medicine,Zhejiang University,Hangzhou 310006,China)

机构地区：[1]浙江大学医学院附属妇产科医院,浙江杭州310006

出　　处：《中国实用妇科与产科杂志》2022年第1期40-44,共5页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：国家自然科学基金(81974225)。

摘　　要：子宫腺肌病是生育年龄妇女的常见病,其引起的月经过多、严重痛经和不孕对患者的身心健康造成严重的影响。而今女性保留生育力和保留子宫的诉求日益强烈,对于药物治疗效果不佳或是仍有生育要求的女性而言,子宫腺肌病病灶切除术已然替代子宫切除术成为首选术式。文章从手术前评估、术前质控、手术指征、术中质控和术后质控等多方面提出子宫腺肌病病灶切除术全程手术质量控制标准及规范化管理流程,并提出推荐的质控检查表单,从而达到病种及术式的同质化优化管理目标。Adenomyosis is a common disease in women of reproductive age.It causes excessive menstruation,severe dysmenorrhea and infertility,which has a serious impact on the physical and mental health of patients.Nowadays,women’s demand for fertility and uterus preservation is becoming stronger and stronger.For women with poor drug treatment effect or who still have fertility requirements,adenomyomectomy has become the first choice instead of hysterectomy.From the aspects of preoperative evaluation,preoperative quality control,surgical indications,intraoperative quality control and postoperative quality control,this paper puts forward the whole-process surgical quality control standard and standardized management process of adenomyometomy,and puts forward the recommended quality control check form,so as to achieve the goal of homogenization and optimization in the management of disease and operation.

关 键 词：子宫腺肌瘤切除术 细胞减灭术 质量控制 

分 类 号：R711.74[医药卫生—妇产科学]