国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2017, Vol. 36 ›› Issue (3): 238-241.

• 讲座 • 上一篇    下一篇

腹腔镜子宫肌瘤剔除术后生育问题

杨清，王丹丹   

  1. 110004  沈阳，中国医科大学附属盛京医院妇产科
  • 收稿日期:2017-04-24 修回日期:2017-04-30 出版日期:2017-05-15 发布日期:2017-05-15

Reproductive Problems after Laparoscopic Myomectomy

YANG Qing，WANG Dan-dan   

  1. Department of Obstetrics and Gynecology，Shengjing Hospital Affiliated to China Medical University，Shenyang 110004，China
  • Received:2017-04-24 Revised:2017-04-30 Published:2017-05-15 Online:2017-05-15

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摘要： 子宫肌瘤是育龄期女性生殖系统最常见的良性肿瘤，也是一部分不孕症及自然流产患者的病因。近年来，腹腔镜子宫肌瘤剔除术（laparoscopic myomectomy，LSM）已成为有生育要求子宫肌瘤女性的首选治疗手段。然而子宫肌瘤的位置、大小、数量、穿透内膜情况等因素是否影响术后妊娠结局目前仍无统一结论。LSM术后形成的盆腔粘连对生育的负面影响、术后适宜的避孕时间以及子宫瘢痕潜在的妊娠期或分娩期子宫破裂的问题也一直是临床关注和探讨的焦点。

关键词:  腹腔镜, 生育力, 妊娠结局, 子宫肌瘤剔除术

Abstract: Uterine myoma is the most common benign solid tumor of the genital system in women of reproductive age, which is related to infertility or spontaneous abortion in some women. Recently, laparoscopic myomectomy (LSM) has been the preferred treatment for those patients with fertility demand. However, up to now, there is no uniform conclusion about whether the location，size，number, penetrating endometium of uterine myoma affect the postoperative pregnant outcomes. Many issues, such as the negative influence of pelvic adhesion on fertility after LSM, the appropriate interval duration before pregnancy and the latent risk of utrine rupture during gestation period or labor stages, are still under clinical discussion.

Key words: Laparoscopes, Fertility, Pregnancy Outcome, Myomectomy