初期开展腹腔镜技术诊治妇科疾病142例临床分析

目的:探讨腹腔镜手术用于诊治妇科疾病的价值,总结初期开展妇科腹腔镜手术的体会。方法:回顾分析初期开展142例妇科腹腔镜手术的临床资料,主要包括输卵管切开取胚术、输卵管切除术、卵巢囊肿剥除术、附件切除术、输卵管结扎术、子宫肌瘤切除术、盆腔粘连松解术、输卵管造口术、腹腔镜辅助阴式子宫切除术等13种手术。结果:142例中136例(95.8%)成功完成腹腔镜手术,6例中转开腹(4.2%),6例(4.2%)发生并发症,平均手术时间(102.43±42.85)min,平均术中出血20ml。结论:腹腔镜手术具有患者创伤小、术中出血少、术后康复快、住院时间短、腹壁切口美观且诊断和治疗同步完成等优点,但初期开展此手术须严格掌握适应证并熟悉各种并发症的防治,从而使腹腔镜技术诊治妇科疾病有更广阔的应用前景。

Clinical analysis of laparoscopy in diagnosis and treatment of gynecopathy at initial stage:with a report of 142 cases

Objective:To investigate the clinical value of laparoscopic surgery in diagnosis and treatment of gynecopathy and the comprehension of this method used at its initial stage.Methods:The clinical data of 142 cases who underwent laparoscopic gynecologic surgery were retrospectively analyzed.There were 13 kinds of operations,including salpingotomy brepho-unload,salpingectomy,oophorocystectomy,adnexectomy,ligation of fallopian tub,laparoscopic myomectomy,lysis of pelvic adhesions,salpingostomy,laparoscopically a...