开腹手术和腹腔镜手术有什么区别 韩海琼 山西省肿瘤医院 скачать в хорошем качестве

开腹手术和腹腔镜手术有什么区别 韩海琼 山西省肿瘤医院

开腹手术和腹腔镜手术有什么区别 韩海琼 山西省肿瘤医院 第一、对于肌瘤数目较多，肌瘤直径10cm，盆腔严重粘连、手术难度增大或可能增加未来妊娠时子宫破裂风险者，宜行开腹手术；第二、不能确定恶性潜能的平滑肌肿瘤，甚至平滑肌肉瘤者，肌瘤粉碎过程中可能存在肿瘤播散的风险，应选择开腹手术；第三、无生育要求不期望保留子宫者，可行子宫的全切术，对于年轻希望保留子宫颈者，也可行子宫次全切除术，术前应注意子宫颈癌的筛查，以减少子宫颈残端癌的发生。 What is the difference between laparotomy and laparoscopy First, the number of leiomyomas is large, The diameter of myoma was 10 cm, Severe pelvic adhesions, increased difficulty in surgery, or increased risk of uterine rupture during future pregnancy, Open operation should be performed; Second, smooth muscle tumors with uncertain malignant potential, Even leiomyosarcomas, There may be a risk of tumor spread in the process of myoma comminution, Open operation should be selected; Third, those who do not want to keep the uterus without fertility requirements, Total hysterectomy is feasible, For young people who want to keep their cervix, Subtotal hysterectomy is also feasible, We should pay attention to cervical cancer screening before operation, In order to reduce the incidence of cervical stump cancer.