| 有腹部手术史的妇科腹腔镜手术应用探讨 |
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| 引用本文： | 杨秀芝,姜兆芹,王金霞.有腹部手术史的妇科腹腔镜手术应用探讨[J].腹腔镜外科杂志,2007,12(4):312-313. |
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| 作者姓名： | 杨秀芝 姜兆芹 王金霞 |
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| 作者单位： | 山东淄博矿业集团公司中心医院,山东,淄博,255120;山东淄博矿业集团公司中心医院,山东,淄博,255120;山东淄博矿业集团公司中心医院,山东,淄博,255120 |
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| 摘 要： | 目的：总结有腹部手术史的118例患者行腹腔镜妇科手术的经验与技巧。方法：避开原有切口慎重选择第1穿刺孔,必要时采用开放式置入Trocar,注意膀胱及肠管粘连区的分离技巧。结果：117例成功完成手术,1例因局部粘连严重中转开腹。结论：有腹部手术史并非是妇科腹腔镜手术的禁忌证,合理选择患者,注重术中操作技巧仍可使有腹部手术史的患者受益于微创手术。
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| 关 键 词： | 腹部手术史 腹腔镜术 妇科手术 手术技巧 |
| 文章编号： | 1009-6612（2007）04-0312-02 |
| 修稿时间： | 2007-03-12 |
The discussion of laparoscopy in gynecology in patients with history of abdominal operation |
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| YANG Xiu-zhi,JIANG Zhao-qin,WANG Jin-xia.The discussion of laparoscopy in gynecology in patients with history of abdominal operation[J].Journal of Laparoscopic Surgery,2007,12(4):312-313. |
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| Authors: | YANG Xiu-zhi JIANG Zhao-qin WANG Jin-xia |
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| Institution: | The Central Hospital of Mining Industrial Enterprise of Zibo,Zibo 255120,China |
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| Abstract: | Objective:To summarize the experience of laparoscopy in gynecology patients with abdominal operation history.Methods:Choose the stab site carefully,if necessary,open procedure can be applied to insert the first trocar.Pay more attention to the dissection of bladder and adhesion between intestine and omentum.Results:One hundred and seventeen cases were performed with laparoscope successfully.1 case was converted to open procedure because of the injury of bladder.Conclusions:Abdominal operation history is not the contraindication of laparoscopey in gynecology.By choosing appropriate patients and careful dissection of adhesion,patients with abdominal operation history can benefit from laparoscopy. |
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| Keywords: | History of abdominal operation Laparoscopy Gynecologic surgery |
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