腺肌和节育手术:文学评价
Giovanni Pecorella1, Meletios P Nigdelis1, Radmila Sparic2,3
1Department of Gynecology, Obstetrics and Reproduction Medicine, Saarland University, Homburg, Germany.
概括
腺髓炎的手术治疗为子宫切除提供了保护生育能力的替代方案. 最少侵入性方法改善了结果,尽管子宫破裂风险仍然令人担忧.
科学领域:
- 妇科 妇科 妇科 妇科
- 手术病理学手术病理学
背景情况:
- 腺髓炎是一种复杂的子宫状况,与子宫内膜异位症有相似之处.
- 腺髓炎的手术管理选择已经显著发展.
研究的目的:
- 为了提供一个明确的定义和概述患者适应的腺肌病的外科治疗.
- 审查和综合当前关于腺肌病手术干预的文献.
主要方法:
- 从1990年到2022年,对MEDLINE和PubMed数据库进行叙述性审查.
- 进行了基于关键字的搜索,并选择了相关的文章并由作者评估.
主要成果:
- 描述了各种不同的外科手术技术,包括腹腔镜和腹腔瘤方法.
- 手术后怀孕率的数据有限,但子宫破裂的风险高达6.0%.
结论:
- 最少入侵的外科手术技术提供了优势,如减少住院和疼痛.
- 切除子宫并不是唯一的选择;对于腺髓炎治疗,存在各种节制生育的外科替代方案.
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