在严重的深层子宫内膜异位症中使用绿色氨酸识别尿道是否总是有用?
Tomoka Kashiwabara1, Kiyoshi Kanno1, Taisuke Iwata1
1Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama, Japan.
Journal of minimally invasive gynecology
|January 16, 2026
概括
尿道内氨酸绿色 (ICG) 光有助于深度子宫内膜异位症手术中的尿道识别. 然而,周尿管纤维化可能会限制ICG可视化,强调需要仔细剖析.
科学领域:
- 妇科外科手术 妇科外科
- 手术成像手术成像
- 子宫内膜异位症研究研究
背景情况:
- 印ocyanine绿色 (ICG) 光成像在妇科手术中越来越多地使用.
- 它有助于尿路的识别和剖析,特别是在深层子宫内膜异位症 (DE) 病例中.
- 然而,可视化的局限性可能会发生.
研究的目的:
- 在DE手术期间使用尿管内ICG呈现不足尿管可视化的情况.
- 讨论这种限制的潜在原因和影响.
- 突出补充外科手术技术的重要性.
主要方法:
- 一个42岁女性患有深层子宫内膜异位症的病例报告.
- 机器人辅助神经节约性子宫切除术与DE切除.
- 通过尿路导管进行逆行性泌尿管内ICG灌注.
主要成果:
- 严重的骨盆粘附和纤维化阻碍了单独使用ICG光来识别尿管.
- 非可视化的尿路段需要细致的剖析.
- 一些尿管部分即使在暴露后仍然非光.
结论:
- 周尿管纤维化,即使厚度为1-2毫米,也可以显著减弱ICG光传播.
- 内泌尿外科ICG是有价值的,但有光学限制.
- 细致的解剖剖仍然是安全的骨盆手术的关键.
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