腹腔镜在妇科急症中的应用

目的:探讨腹腔镜在妇科急症中的应用价值。方法:2002年以来,应用腹腔镜行妇科急症手术85例,其中异位妊娠62例中行患侧输卵管切除术36例,输卵管切开取胚术及病灶清除术23例,1例卵巢妊娠行卵巢部分切除术,输卵管病灶注药术2例;卵巢破裂10例,9例行电凝止血术,1例行患侧附件切除术;卵巢肿瘤蒂扭转6例,2例不全扭转行囊肿剥除术,4例完全扭转附件坏死行一侧附件切除术;急性盆腔炎7例,行脓肿清除、输卵管切除及盆腔粘连松解术。结果:85例急诊腹腔镜手术全部顺利完成,无一例并发症。结论:腹腔镜治疗妇科急症安全有效,较开腹手术有很多优越性。

Laparoscopy for gynaecologic emergencies

Objective:To explore the value of laparoscopy for gynaecologic emergencies.Methods:85 cases of gynaecologic emergencies were treated by laparoscopy since 2002.Among them,62 cases were ectopic pregnancy,including 36 cases treated with unilateral salpingectomy,24 cases with salpingotomy,2 cases with salpingian lesion drug injection.10 cases were rupture of ovary,among whom 9 cases were treated with electrocoagulation,1 case with unilateral adnexectomy.6 cases were pedicle torsion of ovarian tumors,in which 2 cases of imcomplete pedicle torsion were treated with cystectomy,4 cases of complete pedicle torsion with unilateral adnexectomy.7 cases were acute pelvic inflammatory disease and were treated with abscess debridement,salpingectomy and lysis of pelvic adhesions.Results:Acute operations for 85 cases by laparoscopy were all performed successfully without any complications.Conclusions:Laparoscopy is a safe and effective method to treat gynaecologic emergencies,and is better than laparotomy.