阴肛指诊辅助腹腔镜治疗重度子宫内膜异位症

• 作 者: 张迺岩 曹保利 毛雪梅
• 机 构: 天津市南开医院妇产科,天津市南开医院妇产科,天津市南开医院妇产科 天津300100,天津300100,天津300100
• 出 处: 天津医科大学学报
• 发表日期: 2007年04期
• 关键词: 子宫内膜异位症 腹腔镜手术 膀胱截石位 阴肛指诊

盆腔子宫内膜异位症是指异位子宫内膜累及盆腔腹膜或/和盆腔内生殖器官的病变。重症异位病变往往侵及宫骶韧带、肠管、膀胱、子宫直肠隔、盆腔腹膜,造成广泛粘连,封闭子宫直肠陷凹,引起各系统临床不适。2005年6月～2006年11月,笔者应用电视腹腔镜技术,创新取膀胱截石位,在台下助手阴肛指诊指引下手术治疗重度子宫内膜异位症69例,取得较好疗效,现报告如下。

Pelvic endometriosis refers to the ectopic endometrium involving pelvic peritoneum and / or pelvic genital lesions. Severe ectopic lesions often invade uterosacral ligaments, intestines, bladder, uterine rectum, pelvic peritoneum, resulting in extensive adhesions, closed uterine rectal pouch, causing the clinical discomfort of the system. From June 2005 to November 2006, the author applied TV laparoscopic technique to innovate the lithotomy position of the bladder, operated under the guidance of the anus and anus analgesia under the guidance of the anus, and treated 69 cases of severe endometriosis with good curative effect The report is as follows.