妇科腹腔镜手术联合防粘连措施预防术后腹腔粘连的发展现状*

Progress on anti-adhesion therapy following gynecological laparoscopy*

摘要:

妇科手术后腹腔粘连发生率高，并可导致慢性盆腔疼痛、肠梗阻和不孕症等严重后果，迄今尚未很好解决。在妇科腹腔镜手术范围小、损伤轻和操作精细等优点的基础上进一步改进手术，辅以术后防粘连措施，可望减少妇科腹腔镜手术后的粘连形成，改善临床结局。近年来该方面研究十分活跃，并取得了一系列新的进展，特别是在各种防粘连材料的研发、应用及其效果评估方面。该文回顾了近年来相关研究的现状和进展。

Abstract:

High incidence of postoperative abdominal adhesions after gynecological laparoscopy, which may induce a line of serious complications such as chronic pelvic soreness, intestinal obstruction, infertility, etc, has been clinically encountered with the major problems unsolved thus far. By further upgrading the merits of gynecological laparoscopy, including the small operative scope, mild injury and fine manipulation, coupled with the application of anti-adhesion therapies, reduced post-operative adhesions and improved clinical outcomes can be expected. Research has been actively persisted on this area in recent years to achieve new progress, especially in the development of anti-adhesion materials, as well as their clinical application and evaluation of the effects, which is overviewed in this review.