在手术过程中,通过阴道进行超声波,以标准化肠子子宫内膜异位症的剃须
Milena Sophie Alec1, Jonas Jean Mathieu Vibert2, Fabian Grass3
1Department of Obstetrics and Gynecology, Geneva University Hospitals and University of Geneva, Geneva, Switzerland.
Fertility and sterility
|August 4, 2024
概括
经外科手术的阴道超声波可以帮助外科医生在剃须后评估直肠子宫内膜异位症. 这种安全有效的方法指导了进一步切除的决定,降低了复发风险,提高了后续检查的准确性.
科学领域:
- 妇科外科手术是指妇科手术.
- 胃肠道手术 胃肠道手术
- 诊断成像诊断成像的使用
背景情况:
- 潜入直肠的深层子宫内膜异位症带来了手术挑战.
- 精确评估肠除后的残留疾病对于预防复发至关重要.
研究的目的:
- 评估在肠道子宫内膜异位症剃须后手术内经阴道超声波 (iTVUS) 的有用性.
- 评估iTVUS在检测残留疾病和指导手术决策方面的准确性.
主要方法:
- 使用手术前和手术内超声波的叙述视频录像进行逐步演示.
- 经阴道的超声波探针在盆腔盐水灌注后用于超声波评估.
- 临床评估使用腹腔镜抓,并进行超声波评估.
主要成果:
- 在这两种情况下,尽管进行了彻底的肠道剃须,但iTVUS确诊了残留性直肠疾病.
- 超声波检测结果导致决定在两名患者中进行圆盘切除.
- 这种技术被证明是安全的,可重复的,并且有效地评估了裁减利.
结论:
- 经外科手术进行的阴道超声波是评估深度直腰肌内膜异位症切除的宝贵工具.
- 它有助于确定是否需要额外的肠切除,从而有可能减少复发.
- iTVUS 便于精确测量残留结节,以改善患者的随访.
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