Laparoscopic myomectomy - thaum twg thiab rau leej twg nws ua?

Laparoscopic Myomectomy - ib tug phais ua rau uterine myoma. Nws yuav tshem tawm ntawm pathological ntshav los ntawm punctures los yog incisions nyob rau hauv lub plab phab ntsa. Raws li ib tug txoj cai, siv nyob rau hauv lub nrhiav kom tau ntawm loj fibroids los yog myomas tshwm sim ntawm mob (los ntshav, ntxiv lawm tshob).

zoo ntawm lw

Ib tug ntawm cov tseem ceeb tshaj plaws zoo ntawm laparoscopic (conservative) myomectomy yog lub preservation ntawm lub tsev me nyuam thiab tag nrho nws cov kev khiav dej num, xws li ua poj niam. Tsis tas li ntawd, ib tug tseem ceeb kom zoo dua muaj peev xwm yuav hu ua ib tug me me kev poob plig phais thiab ceev ceev rov qab lub sij hawm tom qab tau tus kab mob.

disadvantages hauj lwm

Phais kom tshem tawm cov fibroids muaj xwb ib ob peb, tab sis kuj loj drawbacks. Tus thawj tug yuav hu ua ib tug uas yuav ntawm tsis tshua mob heev ntawm tus kab mob nyob rau hauv ib ob peb xyoos tom qab lub lag luam. Yog vim li cas rau qhov no yog qhov impossibility thaum phais los mus txiav txim hauv lub xub ntiag ntawm me me nodules, uas yuav nws thiaj li ua rau kom nyob rau hauv volume. Qhov thib ob drawback - nws yog ua tau kev puas tsuaj rau ib sab hauv nruab nrog cev - hnyuv, zais zis thiab ureter.

Thaum twg thiab rau leej twg yog ib tug conservative myomectomy?

Muaj ntau cov kws kho mob tawm tswv yim rau mus rau chaw uasi rau lub lag luam no, tsuas yog cov tub ntxhais cov poj niam, uas yog npaj ib tug cev xeeb tub nyob rau hauv lub heev nyob ze lub sij hawm, fibroids nce mus xws li ib qhov kawg hais tias cov tshuaj kho mob tsis txhob muab cov nyhuv. Tab sis cov neeg tej uas tsis ntev xav kom muaj me nyuam, yuav tsum tau ntau muaj kuab rau kev phais rau hysterectomy. Tseeb, nyob rau hauv yuav luag txhua tus neeg mob ntawm tus kab mob tshaj 5 xyoo tej zaum yuav ua tau ib tug relapse.

Tsis tas li ntawd, laparoscopic myomectomy yog tsa nyob rau hauv tus neeg mob thaum muaj contraindications rau uterine leeg embolization - Sau embolization ntawm cov tshuaj nyob rau hauv cov hlab ntsha ntawm ib tug tshwj xeeb catheter los ntawm cov femoral leeg tej.

Laparoscopic Myomectomy: contraindications

• Sijhawm twg los ntawm ib tug kab mob qog hlav.
• Ib tug loj tus naj npawb ntawm interstitial chaw, tshem uas preservation ntawm lub tsev me nyuam muaj nuj nqi yog tsis tau.
• Qhov kuaj pom ntawm lub tuam contraindications rau laparoscopy, uas yuav ua tau ib tug kev hem thawj rau ib tug poj niam lub neej.

Raws li rau ntau gynecologists, rog qib 2 thiab 3, thiab muaj cov adhesions yog ib tug contraindication rau lub lag luam.

Txoj kev laparoscopic myomectomy

Lub essence ntawm no phais yog ib tug trocar puncturing lub anterior mob plab phab ntsa nyob rau hauv plaub qhov chaw. Nyob rau hauv ib tej (puj ntaws) yog tswvcuab laparoscope nyob rau hauv lub peb (plab mog) - phais manipulators. Rau ib ntau yooj yim lag luam ntawm lub plab kab noj hniav yog tswvcuab carbon dioxide. Ces txiav lub phais caj npab ntawm lub tsev me nyuam, thiab miomnye ntshav raug muab tshem tawm, thiab yog nqa tawm los ntawm txoj kev electrocautery kom tsis txhob los ntshav. Lub nto, qhov twg cov ntshav yog irrigated nrog saline thiab lub fwjchim luj kawg nkaus lawv tus kheej raug muab tshem tawm, nyob ntawm seb lawv loj: los ntawm ib tug tej (nrog loj me me), uas tau ua tswvcuab cov cuab yeej, los yog los ntawm lub paum dome txiav (rau cov loj loj). Laparoscopic myomectomy ua nyob rau hauv kev tshuaj loog. Lub duration ntawm lub lag luam ntawm 60 thiab 180 feeb. Qhov no hom ntawm kev phais yog heev uas zoo sib xws lag luam kom tshem tawm ib tug hernia plab mog (laparoscopic hernia kho), uas yog tseem ua los ntawm puncturing lub plab nyias raj.