引用本文:邓 媛,姚远洋,王延洲.单孔腹腔镜技术在子宫内膜癌治疗中的应用[J].中国临床新医学,2020,13(8):759-762.
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单孔腹腔镜技术在子宫内膜癌治疗中的应用
邓 媛,姚远洋,王延洲
400038 重庆,陆军军医大学第一附属医院妇产科
摘要:
[摘要] 子宫内膜癌是发生于子宫内膜的一组上皮性恶性肿瘤,占女性生殖系统恶性肿瘤的20%~30%,是最常见的妇科恶性肿瘤之一。近年来随着人均寿命的延长,肥胖、糖尿病、高血压等高危因素出现,全世界范围内子宫内膜癌发病率呈明显上升趋势,严重危害女性健康。大多数子宫内膜癌可以早期诊断,并通过手术进行治疗。传统腹腔镜手术经过多年的发展,已广泛应用于妇科各类手术,但体表瘢痕、腹壁血管损伤、切口疝及切口感染等问题仍然存在。随着人们对美观、微创的不断追求,单孔腹腔镜技术随之问世,其降低了相关并发症的风险,并具有术后疼痛轻、美容效果佳等突出的优势。目前单孔腹腔镜技术在妇科领域已经能够完成多种良恶性疾病的治疗,该文主要对单孔腹腔镜手术在子宫内膜癌治疗中的应用现状、优劣势、技术要点及发展前景进行简要阐述。
关键词:  子宫内膜癌  单孔腹腔镜  微创手术
DOI:10.3969/j.issn.1674-3806.2020.08.04
分类号:R 737.33
基金项目:
Application of single-port laparoscopic technique in treatment of endometrial cancer
DENG Yuan, YAO Yuan-yang, WANG Yan-zhou
Department of Obstetrics and Gynecology, the First Hospital Affiliated to Army Medical University, Chongqing 400038, China
Abstract:
[Abstract] Endometrial cancer(EC) is a group of epithelial malignant tumors occurring in endometrium, accounting for 20%~30% of malignant tumors in the female reproductive system, and is one of the most common gynecological malignant tumors.In recent years, with the prolongation of life expectancy, obesity, diabetes, hypertension and other high-risk factors have emerged. As a result, the incidence of EC has increased significantly worldwide, which seriously endangers the health of women. Most EC can be diagnosed early and treated surgically. After years of development, traditional laparoscopic surgery has been widely used in various gynecological operations. However, there are still many problems to be solved, such as many scars on the surface of the body, injury of abdominal wall vessels, incisional hernia and infection of incisional wound. With the continuous pursuit of aesthetics and minimally invasive surgery, single-port laparoscopic technique has come out, which reduces the risk of related complications, and has the outstanding advantages of less postoperative pain and better cosmetic effect. At present, single-port laparoscopic technique has been able to complete the treatment of a variety of benign and malignant diseases in the field of gynecology.In this paper, the application status, advantages and disadvantages, technical points and development prospects of single-port laparoscopic surgery in the treatment of EC are briefly described.
Key words:  Endometrial cancer(EC)  Single-port laparoscopy  Minimally invasive surgery