介绍“注水”辅助腹腔镜治疗卵巢子宫内膜瘤的有效方法。
用静态图片和手术视频剪辑来演示详细技术,对外科手术进行逐步视频解释,经中国医科大学附属盛京医院批准。
医院。
一名26岁的年轻女性被诊断患有直径6厘米的右卵巢囊肿,他忍受了5年的痛经。
“注水”辅助腹腔镜下卵巢子宫内膜瘤切除术包括五个步骤:破裂卵巢子宫内膜囊肿并取出“巧克力液”;将“水”(稀释的加压素溶液)注入子宫内膜瘤和卵巢实质之间的界面;停止注射,直到溶液溢出;将子宫内膜瘤与卵巢实质分开;和卵巢缝合。
“注水”辅助腹腔镜卵巢子宫内膜瘤切除术的价值和可行性。
“注水”辅助腹腔镜卵巢子宫内膜瘤切除术是可行和有效的。在后续阶段,患者未报告任何痛经症状;性激素和抗苗勒管激素测试达到正常水平.
我们的手术方法显示出几个值得注意的优点。“注水”后,子宫内膜瘤和卵巢实质很容易区分和分离。该方法避免了子宫内膜瘤分离过程中正常卵巢组织的破坏。使用稀释的加压素溶液可以减少卵巢伤口的出血。考虑到其实现的简单性,我们的手术方法应该推广到更多的育龄期患者。
To introduce an effective approach for excision of ovarian endometrioma by \"water injection\"-assisted laparoscopy treatment.
Step-by-step video explanation of the surgical procedure with still pictures and surgical video clips to demonstrate the detailed technique, approved by the Shengjing Hospital of
China Medical University.
Hospital.
A 26-year-old young woman diagnosed with a 6 cm in diameter right ovarian cyst, who endured 5 years of dysmenorrhea.
The \"water injection\"-assisted laparoscopic excision of ovarian endometrioma consists of five steps: rupture the ovarian endometrial cyst and remove the \"chocolate fluid;\" inject the \"water\" (diluted vasopressin solution) into the interface between endometrioma and ovarian parenchyma; stop injecting until the solution overflow; separate the endometrioma away from the ovarian parenchyma; and suture the ovary.
Value and feasibility of \"water injection\"-assisted laparoscopic excision of ovarian endometrioma.
The \"water injection\"-assisted laparoscopic excision of ovarian endometrioma was feasible and effective. In the follow-up period, the patient did not report any symptom of dysmenorrhea; and the sex hormone and antimüllerian hormone tests reached to normal levels.
Our surgical approach demonstrated several noteworthy advantages. After \"water injection\", the endometrioma and ovarian parenchyma was easily distinguished and separated. The approach avoided normal ovarian tissue destruction during endometrioma separation. The utilization of diluted vasopressin solution might decrease bleeding of ovarian wound. Considering its simplicity of realization, our surgical approach should be promoted to more reproductive-age patients.