Hysteroscopy greater advantage of the treatment, Hysteroscopic resection of the past 10 years was a rapid development. "Through Hysteroscopic resection of endometrial resection, early treatment of endometrial cancer. Such operations only with endometriosis, uterine basically does not affect the endocrine function, will not undermine the bottom of the pelvic structure, but also to avoid the open Abdominal complications.
"It can be said that laparoscopic hysteroscopy and the development and application, making the original opening, a means of diagnosis and treatment of gynecological surgery and was gradually replaced by minimally invasive methods, such a revolutionary change to the diagnosis and treatment of gynecological cancer has brought significant Impact. "
As China's first case of the operation of hysteroscopy, Professor Xia years committed to the improvement and promotion of hysteroscopy, she told reporters that women are usually closed the uterine cavity, only in the growth of foreign body or when the pregnancy will be distracting , Allows us to check the intrauterine become very difficult - magnetic resonance, B super-although can be observed, but not enough so intuitive, are performing poorly.
Hysteroscopy accurate diagnosis of the highest rates
And the advent of hysteroscopy solve this problem, to use "liquid expanding Palace" or carbon dioxide distraction uterus, and then through the tubular optical instrument, as the light source into the uterine cavity and then through the photographic lens will be intrauterine image - Out, so that doctors can be on the TV screen intuitive and comprehensive observation of localized lesions.
In the diagnosis of endometrial cancer, particularly high accuracy rate of hysteroscopy, it can also help doctors understand the uterine cancer, cervical the invasion of endometrial cancer carried out in phases, the next step to help develop treatment programmes. At the same time, hysteroscopy technology can also be used to observe the invasive cervical cancer of the cervix there.
"Generally speaking, hysteroscopy endometrial lesions on the diagnostic accuracy of 94% -99% in between, and curettage diagnostic accuracy rate is 70% -80%, B super-only at 80 percent. Moreover, As hysteroscopy can clear lesions, but also for its diagnosis radiotherapy, surgery provide an important basis for the position. "
Hysteroscopic resection of less pain
Hysteroscopy greater advantage of the treatment, Hysteroscopic resection of the past 10 years was a rapid development. "Through Hysteroscopic resection of endometrial resection, early treatment of endometrial cancer. Such operations only with endometriosis, uterine basically does not affect the endocrine function, will not undermine the bottom of the pelvic structure, but also to avoid the open Abdominal complications, so patients with pain and rapid recovery, there will not be any psychological burden. "
In addition, Ⅰ Ⅱ-class level and cervical precancerous lesions, such technology can also be treated. However, the more difficult surgery, the need for hysteroscopy very skilled operator of doctors can do.
Although hysteroscopy in "expanding liquid Palace" will lead to the proliferation of cancer cells, experts still debate, but there is no evidence that this phenomenon does exist.
Wider application of laparoscopic
Compared with the hysteroscope, another major darling of the endoscope - a broader scope of application of laparoscopy. Has now confirmed that the vast majority of laparoscopic gynecological tumors, such as endometrial cancer, cervical cancer, ovarian cancer, such as diagnosis, assessment and treatment of illness.
Ⅱ b period and the following endometrial cancer, can be completed in phases in laparoscopic surgery and treatment, Ⅲ patients can be carried out through laparoscopic lymph node biopsy to determine the next step treatment programmes. And cervical cancer patients, regardless of clinical stage sooner or later, can be passed laparoscopy and lymph node dissection microscope, to understand whether tumor metastasis. One, Ⅱ b period and the following cervical cancer, can also complete laparoscopic surgery, to achieve the correct phases and complete resection of the lesion to maximize the survival time of patients.
However, laparoscopic ovarian cancer surgery has been controversial. At present, the laparoscopic treatment of patients with ovarian cancer for two main aspects: First, before chemotherapy, surgery patients with bad results do laparoscopy, you can understand illness and the other is in chemotherapy, as a second exploratory surgery, can be judged The effect of initial chemotherapy. However, laparoscopic surgery ovarian cancer has gradually increased the application, such as recurrent ovarian cancer patients may consider implementation of the second laparoscopic cytoreductive surgery, to the extent possible removal of the tumor or lesion reduced.
However, laparoscopic surgery complicated to operate, not only have to do with the basis of open surgery, the laparoscopic operation adept skills, but also to the requirements of surgical instruments also relatively high. Of course, compared with traditional surgery, laparoscopic trauma due to small, the suffering of patients with less, its advantage is still very obvious.
Jul 23, 2008
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