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首页> 外文期刊>Taiwanese journal of obstetrics and gynecology >Laparoscopic Myomectomy
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Laparoscopic Myomectomy

机译：腹腔镜子宫肌瘤切除术

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Uterine leiomyomas, such as fibroids and myomas,are the most common gynecological tumors in womenof a reproductive age, even though the majority ofsuch lesions are asymptomatic [1]. However, there isno doubt that symptoms directly attributable to thesebenign tumors represent the most common reasonsfor laparotomy in non-pregnant women [2]. In pastdecades, hysterectomy was seen almost as a panaceafor uterine leiomyomas [3]. More recently, attentionhas focused on the development of pharmaceuticalagents and less-invasive procedures [4], which are frequently designed to retain the uterus [5]. Of these,myomectomy may be a choice for symptomatic uterine leiomyomas if fertility retention is desired [6]. Thesurgical mode of access usually employed in myomectomy is traditional exploratory laparotomy or a modification such as mini-laparotomy or ultra-mini laparotomy(UMLT). Laparoscopy, a combination of laparoscopyand mini-laparotomy, vaginal surgery, and hysteroscopicmyomectomy have recently been presented as validalternatives [7]. The question “What is the best way tocomplete myomectomy, when women need myomectomy, for symptom control and preservation of futurefertility?” has long been unanswered, and there are veryfew head-to-head, case-controlled, or cohort studiesin the literature comparing the different approaches tomyomectomy [4,6–8].
机译：子宫肌瘤，例如肌瘤和肌瘤，是育龄妇女中最常见的妇科肿瘤，即使这类病灶多数无症状[1]。然而，毫无疑问，直接归因于这些良性肿瘤的症状是非孕妇剖腹手术的最常见原因[2]。在过去的几十年中，子宫切除术几乎被视为子宫平滑肌瘤的灵丹妙药[3]。最近，注意力集中在药物制剂和侵入性较小的程序[4]上，这些程序通常旨在保留子宫[5]。其中，如果需要保留生育能力，子宫肌瘤切除术可能是有症状子宫平滑肌瘤的一种选择[6]。通常在子宫肌瘤切除术中使用的外科手术方式是传统的探查性剖腹术或改良的手术，例如小型腹腔镜开腹术或超小型剖腹术（UMLT）。腹腔镜，腹腔镜和小型腹腔镜手术，阴道手术和宫腔镜子宫肌瘤切除术的结合最近已被提出作为有效的选择[7]。问题“当女性需要进行子宫肌瘤切除术以控制症状并保存未来的生育能力时，完成子宫肌瘤切除术的最佳方法是什么？”长期以来一直没有得到答案，并且在文献中很少有针对不同的子宫肌瘤切除术方法进行针锋相对，病例对照或队列研究[4,6-8]。

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