微创技术保守性治疗子宫腺肌病的现状与进展

摘要

以腹腔镜、宫腔镜为代表的内镜手术、介入治疗以及高强度聚焦超声等微创技术,正深入到妇科疾病治疗的各个方面,显示出较传统治疗方法无法比拟的优势. 微创技术在子宫腺肌病保守治疗中的应用凸显,本文对腹腔镜腺肌病病灶切除、腹腔镜腺肌病病灶切除联合子宫动脉阻断、宫腔镜子宫内膜及内膜肌层交界区切除、子宫动脉栓塞术、高频聚焦超声等治疗子宫腺肌病进行文献归纳和总结.%Nowadays several minimally invasive techniques such as laparoscopy, hysteroscopy, uterine artery embolization and high-intensity focused ultrasound ( HIFU) have extended deeply into many aspects in the treatment of gynecological diseases.In practice, minimally invasive techniques have many advantages which are not available in conventional technology.In the treatment of adenomyosis, minimally invasive techniques also show superior advantages to other techniques.This paper reviews and summarizes literatures on laparoscopic excision of adenomyosis lesion, laparoscopic excision of adenomyosis lesion combined with uterine artery embolization, hysteroscopic endometrial and endometrial-myometrial junction resection, uterine artery embolization, and high-frequency focused ultrasound in the treatment of uterine adenomyosis.